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Organization

TOTAL RENAL CARE INC

Active
Other names
Wickenburg Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 280-9501
Entity
Organization

Contact information

Practice address
811 N TEGNER ST, SUITES 101, 103, 105, 107, WICKENBURG, AZ 85390-5409
(480) 610-6106
(480) 610-6195
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
787101
AZ
Enumeration date
01/31/2012
Last updated
06/24/2013
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