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TOTAL RENAL CARE INC NPI 1497973168


NPI Information

NPI: 1497973168
Provider Name: TOTAL RENAL CARE INC

Doing Business As: KALAMAZOO WEST DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D1069681

Address:
1040 N 10TH ST
KALAMAZOO, MI
ZIP 49009
Phone: (269) 343-0250
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Kalamazoo, MI. TOTAL RENAL CARE INC NPI is 1497973168. The provider is registered as an organization entity type.
The provider Is Doing Business As Kalamazoo West Dialysis.

The provider's business location address is:

1040 N 10TH ST
KALAMAZOO, MI
ZIP 49009-149
Phone: (269) 343-0250
Fax: (269) 343-0266

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 23D1069681 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 12/19/2013.


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) TreatmentYes

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
11497973168MEDICAIDMICHIGAN
2232641MEDICARE OSCAR/CERTIFICATIONMICHIGAN

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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