Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Vandalia, IL
NPI number
1265618573
Active
Practice location
301 Mattes Ave
Vandalia, IL 62471-2061
Fax (618) 283-1390
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 1265618573
Total Renal Care Inc's National Provider Identifier is 1265618573, issued on Jan 16, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Vandalia, IL. The record was last updated on Dec 19, 2022.