TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI 1639671357

NPI Information

NPI: 1639671357
Provider Name: TOTAL RENAL CARE OF NORTH CAROLINA LLC

Doing Business As: HICKORY RIDGE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
9562 ROCKY RIVER RD
CHARLOTTE, NC
ZIP 28215
Phone: (704) 921-4990
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TOTAL RENAL CARE OF NORTH CAROLINA LLC is an end-stage renal disease (esrd) treatment clinic center in Charlotte, NC. TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI is 1639671357. The provider is registered as an organization entity type.
The provider Is Doing Business As Hickory Ridge Dialysis.

The provider's business location address is:

9562 ROCKY RIVER RD
CHARLOTTE, NC
ZIP 28215
Phone: (704) 921-4990
Fax: (704) 921-9548

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 34D2152555 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/17/2021.

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			Yes

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

NPI Synchronization or Removal

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