Organization · Type 2 NPI

Total Renal Care, Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jacksonville, FL

NPI number 1063980969 Active

Practice location

8021 Philips Hwy Ste 15
Jacksonville, FL 32256-4452

Call (904) 636-9652 Map

Fax (904) 636-9657

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1063980969
Entity type: Organization (Type 2)
Issued: Nov 8, 2018
Last updated: Nov 12, 2018
Status: Active

Other names

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Philips Highway Dialysis · doing business as
Philips Highway Dialysis · doing business as

Authorized official

James Hilger
Chief Accounting Officer
(310) 536-2400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063980969

Total Renal Care, Inc's National Provider Identifier is 1063980969, issued on Nov 8, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 12, 2018.