Organization
TOTAL RENAL CARE INC
Active
Other names
Marshall Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
1420 E COLLEGE DR, STE 600, MARSHALL, MN 56258-2065
(507) 532-7393
(507) 532-5776
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
003029500
—
MN
05
—
82675900
—
WI
Enumeration date
04/13/2006
Last updated
10/03/2018
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