TOTAL RENAL CARE NPI 1972071868

NPI Information

NPI: 1972071868
Provider Name: TOTAL RENAL CARE
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2206764

Address:
250 HARRISON ST STE 310
TITUSVILLE, FL
ZIP 32780
Phone: (321) 383-2357
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TOTAL RENAL CARE is an end-stage renal disease (esrd) treatment clinic center in Titusville, FL. TOTAL RENAL CARE NPI is 1972071868. The provider is registered as an organization entity type.

The provider's business location address is:

250 HARRISON ST STE 310
TITUSVILLE, FL
ZIP 32780-026
Phone: (321) 383-2357
Fax: (321) 383-2362

The provider's authorized official is James Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (310) 536-2400.

The CLIA number assigned to this NPI record is 10D2206764 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

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: 5/5/2024

NPI Synchronization or Removal

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