TOTAL RENAL CARE INC NPI 1053370122

NPI Information

NPI: 1053370122
Provider Name: TOTAL RENAL CARE INC

Doing Business As: MEMORIAL DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4427 S ROBERTSON ST
NEW ORLEANS, LA
ZIP 70115
Phone: (504) 899-1103
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in New Orleans, LA. TOTAL RENAL CARE INC NPI is 1053370122. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Dialysis Center.

The provider's business location address is:

4427 S ROBERTSON ST
NEW ORLEANS, LA
ZIP 70115-308
Phone: (504) 899-1103
Fax: (504) 899-1956

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 3/18/2006 and was last updated on 2/26/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	088	LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1541893	MEDICAID	LOUISIANA

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: 5/5/2024

NPI Synchronization or Removal

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