Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Idaho Falls, ID
NPI number
1164617361
Active
Practice location
900 Pancheri Dr, Ste B
Idaho Falls, ID 83402-3310
Fax (208) 524-7452
Mailing address
5200 Virginia Way, Ste 400 L&c
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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About NPI 1164617361
Total Renal Care Inc's National Provider Identifier is 1164617361, issued on Sep 11, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 11, 2007.