Organization
TOTAL RENAL CARE INC
Active
Other names
Papago Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1401 N 24TH ST, STE 2, PHOENIX, AZ 85008-4638
(602) 392-0668
(602) 392-0669
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC0725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07983012
—
TX
05
—
181876
—
AZ
Enumeration date
04/13/2006
Last updated
07/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us