Provider Type Icon

TOTAL RENAL CARE OF NORTH CAROLINA LLC NPI 1295196491


NPI Information

NPI: 1295196491
Provider Name: TOTAL RENAL CARE OF NORTH CAROLINA, LLC

Doing Business As: NEW HANOVER DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3147 S 17TH ST
WILMINGTON, NC
ZIP 28412
Phone: (910) 794-6110
Get Directions

TOTAL RENAL CARE OF NORTH CAROLINA, LLC is an end-stage renal disease (esrd) treatment clinic center in Wilmington, NC. TOTAL RENAL CARE OF NORTH CAROLINA, LLC NPI is 1295196491. The provider is registered as an organization entity type.
The provider Is Doing Business As New Hanover Dialysis.

The provider's business location address is:

3147 S 17TH ST
WILMINGTON, NC
ZIP 28412-030
Phone: (910) 794-6110

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 enumeration date for this NPI number is 3/15/2016 and was last updated on 7/7/2020.


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) TreatmentNORTH CAROLINAYes

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
11295196491MEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.