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TOTAL RENAL CARE INC NPI 1255636940


NPI Information

NPI: 1255636940
Provider Name: TOTAL RENAL CARE INC

Doing Business As: SOUTHWEST DENVER DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 06D2027974

Address:
8601 W CROSS DR
UNIT C-2
DENVER, CO
ZIP 80123
Phone: (303) 933-2367
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Denver, CO. TOTAL RENAL CARE INC NPI is 1255636940. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Denver Dialysis.

The provider's business location address is:

8601 W CROSS DR
UNIT C-2
DENVER, CO
ZIP 80123
Phone: (303) 933-2367
Fax: (303) 933-2566

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 06D2027974 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 11/2/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment12H132COLORADOYes

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
11255636940MEDICAIDCOLORADO

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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