TOTAL RENAL CARE INC NPI 1750046686

NPI Information

NPI: 1750046686
Provider Name: TOTAL RENAL CARE INC

Doing Business As: KOLFF DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
423 S WAKARA WAY STE 200
SALT LAKE CITY, UT
ZIP 84108
Phone: (385) 433-3146
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Salt Lake City, UT. TOTAL RENAL CARE INC NPI is 1750046686. The provider is registered as an organization entity type.
The provider Is Doing Business As Kolff Dialysis.

The provider's business location address is:

423 S WAKARA WAY STE 200
SALT LAKE CITY, UT
ZIP 84108-534
Phone: (385) 433-3146
Fax: (385) 433-3152

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 46D0660876 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2021 and was last updated on 1/19/2024.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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