Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ridgeland, SC

NPI number 1255650982 Active

Practice location

112 Weathersby St
Ridgeland, SC 29936-9514

Call (843) 717-9379 Map

Fax (843) 717-9384

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	ERD 0187 (SC)

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

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NPI record

NPI: 1255650982
Entity type: Organization (Type 2)
Issued: May 20, 2010
Last updated: Jan 7, 2022
Status: Active

Other names

<unavail>
Ridgeland Dialysis · doing business as
Ridgeland Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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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 1255650982

Total Renal Care Inc's National Provider Identifier is 1255650982, issued on May 20, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ridgeland, SC. The record was last updated on Jan 7, 2022.