Organization
TOTAL RENAL CARE INC
Active
Other names
Mishawaka 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
1420 TRINITY PL, MISHAWAKA, IN 46545-5005
(574) 243-3764
(574) 243-3583
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(800) 467-4736
(615) 320-4487
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
08/21/2013
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