TOTAL RENAL CARE INC NPI 1700840196

NPI Information

  • NPI: 1700840196
  • Provider Name: TOTAL RENAL CARE INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: TRC PINE CITY
  • Address: 129 6TH AVE SE
    LAKESIDE MEDICAL CENTER
    PINE CITY, MN
    ZIP 55063
  • Phone: (763) 444-7245

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NPI Details

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Pine City, MN. TOTAL RENAL CARE INC NPI is 1700840196. The provider is registered as an organization entity type.
The provider Is Doing Business As Trc Pine City.

The provider's business location address is:

129 6TH AVE SE
LAKESIDE MEDICAL CENTER
PINE CITY, MN
ZIP 55063-913
Phone: (763) 444-7245
Fax: (763) 444-3997

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 enumeration date for this NPI number is 4/13/2006 and was last updated on 5/4/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
182811400MEDICAIDWISCONSIN
2242516MEDICARE OSCAR/CERTIFICATIONMINNESOTA
3542812200MEDICAIDMINNESOTA

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: 11/21/2025

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