TOTAL RENAL CARE INC NPI 1770767493

NPI Information

NPI: 1770767493
Provider Name: TOTAL RENAL CARE INC

Doing Business As: INDIAN WELLS VALLEY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
212 S RICHMOND RD
RIDGECREST, CA
ZIP 93555
Phone: (760) 371-7506
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Ridgecrest, CA. TOTAL RENAL CARE INC NPI is 1770767493. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Wells Valley.

The provider's business location address is:

212 S RICHMOND RD
RIDGECREST, CA
ZIP 93555-434
Phone: (760) 371-7506
Fax: (760) 371-7806

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 1/18/2024.

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	240000779	CALIFORNIA	Yes

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
1	1770767493	MEDICAID	CALIFORNIA

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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