Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Edwardsville, IL
NPI number
1154586428
Active
Practice location
235 S Buchanan St
Edwardsville, IL 62025-2108
Fax (618) 692-9439
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 1154586428
Total Renal Care Inc's National Provider Identifier is 1154586428, issued on Jul 25, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Edwardsville, IL. The record was last updated on Nov 18, 2022.