TOTAL RENAL CARE OF COLORADO INC NPI 1255308235

NPI Information

NPI: 1255308235
Provider Name: TOTAL RENAL CARE OF COLORADO INC

Doing Business As: LAKEWOOD DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1750 PIERCE ST
STE B
LAKEWOOD, CO
ZIP 80214
Phone: (303) 238-6111
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TOTAL RENAL CARE OF COLORADO INC is an end-stage renal disease (esrd) treatment clinic center in Lakewood, CO. TOTAL RENAL CARE OF COLORADO INC NPI is 1255308235. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakewood Dialysis Center.

The provider's business location address is:

1750 PIERCE ST
STE B
LAKEWOOD, CO
ZIP 80214-434
Phone: (303) 238-6111
Fax: (303) 462-0946

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 7/11/2007.

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	0845	COLORADO	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	062502	MEDICARE OSCAR/CERTIFICATION
2	05302005	MEDICAID	COLORADO

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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