Organization
TOTAL RENAL CARE INC
Active
Other names
Avon Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
9210 ROCKVILLE RD, SUITE D, INDIANAPOLIS, IN 46234-2669
(317) 209-2544
(317) 209-2741
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6793
(866) 853-1955
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
—
201017560A
—
IN
Enumeration date
09/13/2010
Last updated
08/04/2011
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