Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT
NPI number
1114981107
Active
Practice location
1055 N 500 W Ste 221
Provo, UT 84604-3305
Fax (801) 373-6400
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 | 2002ESRD9781 (UT) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1114981107
Total Renal Care Inc's National Provider Identifier is 1114981107, issued on Apr 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Provo, UT. The record was last updated on Nov 7, 2024.