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TOTAL RENAL CARE INC NPI 1689626749


NPI Information

NPI: 1689626749
Provider Name: TOTAL RENAL CARE INC

Doing Business As: FORT MILL DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1975 CAROLINA PLACE DR
FORT MILL, SC
ZIP 29708
Phone: (803) 802-3027
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Fort Mill, SC. TOTAL RENAL CARE INC NPI is 1689626749. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Mill Dialysis.

The provider's business location address is:

1975 CAROLINA PLACE DR
FORT MILL, SC
ZIP 29708-922
Phone: (803) 802-3027
Fax: (803) 802-0319

The provider's authorized official is John D 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 5/17/2006 and was last updated on 1/6/2023.


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) TreatmentERD-0167SOUTH 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
1ERD167MEDICAIDSOUTH CAROLINA
2ERD-0167OTHERSOUTH CAROLINASTATE LICENSE

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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