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TOTAL RENAL CARE INC NPI 1023078946


NPI Information

NPI: 1023078946
Provider Name: TOTAL RENAL CARE INC

Doing Business As: HARFORD ROAD DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 21D0959440

Address:
5800 HARFORD RD
BALTIMORE, MD
ZIP 21214
Phone: (410) 444-1544
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. TOTAL RENAL CARE INC NPI is 1023078946. The provider is registered as an organization entity type.
The provider Is Doing Business As Harford Road Dialysis Center.

The provider's business location address is:

5800 HARFORD RD
BALTIMORE, MD
ZIP 21214-847
Phone: (410) 444-1544
Fax: (410) 444-2787

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 21D0959440 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/18/2022.


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) TreatmentE2605MARYLANDYes

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
1427367200MEDICAIDMARYLAND

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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