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TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI 1013488659


NPI Information

NPI: 1013488659
Provider Name: TOTAL RENAL CARE OF NORTH CAROLINA, LLC

Doing Business As: OAK CITY DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3645 TRUST DR
RALEIGH, NC
ZIP 27616
Phone: (919) 876-6827
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TOTAL RENAL CARE OF NORTH CAROLINA, LLC is an end-stage renal disease (esrd) treatment clinic center in Raleigh, NC. TOTAL RENAL CARE OF NORTH CAROLINA, LLC NPI is 1013488659. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak City Dialysis.

The provider's business location address is:

3645 TRUST DR
RALEIGH, NC
ZIP 27616-955
Phone: (919) 876-6827
Fax: (919) 876-2385

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 6/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013488659MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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