Organization · Type 2 NPI
Total Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fruitland, ID
NPI number
1083146559
Active
Practice location
815 NW 13th St
Fruitland, ID 83619-2316
Fax (208) 764-1488
Mailing address
5200 Virginia Way, L&c Dept
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...
About NPI 1083146559
Total Renal Care, Inc.'s National Provider Identifier is 1083146559, issued on Apr 3, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fruitland, ID. The record was last updated on Oct 30, 2025.