Organization Name: | TOTAL RENAL CARE INC. |
NPI Number: | 1174710198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES K HILGER (CHEIF ACCOUNTING OFFICER) |
Mailing Address: | 2101 W Dolarway Rd Ste 1 Ellensburg |
State: | WA US |
Postal Code: | 989267846 |
Phone Number: | 5099252333 |
Fax Number: | 5099252334 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |