Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
CSATF 19 Prison Dialysis Program
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARKE (ARRM)
(949) 930-6874
Entity
Organization
Contact information
Practice address
2001 HIGH ST, SELMA, CA 93662-3512
(559) 992-7100
(559) 992-7299
Mailing address
15253 BAKE PARKWAY, IRVINE, CA 92618
(949) 930-6874
(866) 639-7505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
03/28/2014
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