TOTAL RENAL CARE INC NPI 1871848895

NPI Information

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Belleville, IL. TOTAL RENAL CARE INC NPI is 1871848895. The provider is registered as an organization entity type.
The provider Is Doing Business As Shiloh Dialysis.

The provider's business location address is:

1095 N GREEN MOUNT RD
BELLEVILLE, IL
ZIP 62221-303
Phone: (618) 628-1108
Fax: (618) 628-1459

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 14D2047370 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 1/19/2021.

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:

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