Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake St. Louis, MO
NPI number
1396074597
Active
Practice location
200 Brevco Plz, Ste 202
Lake St. Louis, MO 63367-2950
Fax (636) 625-4463
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...
3 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Lake St. Louis
About NPI 1396074597
Total Renal Care Inc's National Provider Identifier is 1396074597, issued on Dec 17, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 24, 2026.