Organization
TOTAL RENAL CARE INC
Active
Other names
Broadmoor 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
1815 E 70TH ST, SHREVEPORT, LA 71105-5301
(615) 341-5894
(877) 382-4458
Mailing address
5200 VIRGINIA WAY, SUITE 400 L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 341-5894
(877) 382-4458
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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