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TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI 1063138386


NPI Information

NPI: 1063138386
Provider Name: TOTAL RENAL CARE OF NORTH CAROLINA, LLC

Doing Business As: DOWNTOWN RALEIGH DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 34D2277819

Address:
3031 NEW BERN AVE STE 100
RALEIGH, NC
ZIP 27610
Phone: (615) 341-5875
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TOTAL RENAL CARE OF NORTH CAROLINA, LLC is an end-stage renal disease (esrd) treatment clinic center in Raleigh, NC. TOTAL RENAL CARE OF NORTH CAROLINA, LLC NPI is 1063138386. The provider is registered as an organization entity type.
The provider Is Doing Business As Downtown Raleigh Dialysis.

The provider's business location address is:

3031 NEW BERN AVE STE 100
RALEIGH, NC
ZIP 27610-989
Phone: (615) 341-5875

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 34D2277819 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 2/27/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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