TOTAL RENAL CARE INC NPI 1093136111

NPI Information

NPI: 1093136111
Provider Name: TOTAL RENAL CARE INC

Doing Business As: HISTORICAL HASTINGS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 24D2072554

Address:
1828 MARKET BLVD
HASTINGS, MN
ZIP 55033
Phone: (651) 438-2155
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Hastings, MN. TOTAL RENAL CARE INC NPI is 1093136111. The provider is registered as an organization entity type.
The provider Is Doing Business As Historical Hastings Dialysis.

The provider's business location address is:

1828 MARKET BLVD
HASTINGS, MN
ZIP 55033-494
Phone: (651) 438-2155
Fax: (651) 438-2164

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 CLIA number assigned to this NPI record is 24D2072554 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 10/19/2023.

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
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: 5/5/2024

NPI Synchronization or Removal

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