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TOTAL RENAL CARE INC NPI 1043272065


NPI Information

NPI: 1043272065
Provider Name: TOTAL RENAL CARE INC

Doing Business As: UPSTATE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 42D0676342

Address:
308 MILLS AVE
GREENVILLE, SC
ZIP 29605
Phone: (864) 271-3700
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Greenville, SC. TOTAL RENAL CARE INC NPI is 1043272065. The provider is registered as an organization entity type.
The provider Is Doing Business As Upstate Dialysis Center.

The provider's business location address is:

308 MILLS AVE
GREENVILLE, SC
ZIP 29605
Phone: (864) 271-3700
Fax: (864) 271-7929

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

The CLIA number assigned to this NPI record is 42D0676342 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/13/2020.


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) TreatmentERD-0098SOUTH CAROLINAYes

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
1425409MEDICAIDSOUTH 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: 11/14/2023

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