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TOTAL RENAL CARE INC NPI 1669583084


NPI Information

NPI: 1669583084
Provider Name: TOTAL RENAL CARE INC

Doing Business As: HIALEAH ARTIFICIAL KIDNEY CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D1051397

Address:
8524 NW 103RD ST
HIALEAH, FL
ZIP 33016
Phone: (305) 827-0576
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Hialeah, FL. TOTAL RENAL CARE INC NPI is 1669583084. The provider is registered as an organization entity type.
The provider Is Doing Business As Hialeah Artificial Kidney Center.

The provider's business location address is:

8524 NW 103RD ST
HIALEAH, FL
ZIP 33016-870
Phone: (305) 827-0576
Fax: (305) 827-0871

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 10D1051397 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/25/2020.


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) 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
1000100000MEDICAIDFLORIDA

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: 11/14/2023

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