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TOTAL RENAL CARE INC NPI 1912248931


NPI Information

NPI: 1912248931
Provider Name: TOTAL RENAL CARE INC

Doing Business As: BROADMOOR DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1815 E 70TH ST
SHREVEPORT, LA
ZIP 71105
Phone: (615) 341-5894
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Shreveport, LA. TOTAL RENAL CARE INC NPI is 1912248931. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadmoor Dialysis.

The provider's business location address is:

1815 E 70TH ST
SHREVEPORT, LA
ZIP 71105-301
Phone: (615) 341-5894
Fax: (877) 382-4458

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) 280-9501.

The enumeration date for this NPI number is 3/15/2013 and was last updated on 3/15/2013.


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) TreatmentYes

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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