TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI 1003208240

NPI Information

TOTAL RENAL CARE OF NORTH CAROLINA LLC is an end-stage renal disease (esrd) treatment clinic center in Hampstead, NC. TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI is 1003208240. The provider is registered as an organization entity type.
The provider Is Doing Business As Surf City Dialysis.

The provider's business location address is:

22807 US HIGHWAY 17 N
HAMPSTEAD, NC
ZIP 28443-178
Phone: (910) 329-0706
Fax: (910) 329-0841

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 34D2097744 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 9/1/2020.

Taxonomy Codes

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Other Identifiers

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