1861638769 NPI number — TOTAL RENAL CARE INC

Table of content: (NPI 1861638769)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861638769 NPI number — TOTAL RENAL CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOTAL RENAL CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UPSTATE HOME DIALYSIS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861638769
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5200 VIRGINIA WAY
Provider Second Line Business Mailing Address:
STE 400 L&C
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37027-7569
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-320-4521
Provider Business Mailing Address Fax Number:
866-594-2894

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 GUESS ST
Provider Second Line Business Practice Location Address:
STE 210
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29605-4155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-271-3700
Provider Business Practice Location Address Fax Number:
864-271-7929
Provider Enumeration Date:
12/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HILGER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
K
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
253-382-1919

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)