Organization
TOTAL RENAL CARE INC
Active
Other names
Villa of St John
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
9030 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114
(314) 429-1724
(314) 427-6499
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6765
(833) 782-9089
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
—
1770719700
—
MO
Enumeration date
06/04/2009
Last updated
08/24/2018
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