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TOTAL RENAL CARE INC NPI 1356898944


NPI Information

NPI: 1356898944
Provider Name: TOTAL RENAL CARE INC

Doing Business As: CALUMET CITY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D2119880

Address:
1200 SIBLEY BOULEVARD
CALUMET CITY, IL
ZIP 60409
Phone: (708) 862-6454
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Calumet City, IL. TOTAL RENAL CARE INC NPI is 1356898944. The provider is registered as an organization entity type.
The provider Is Doing Business As Calumet City.

The provider's business location address is:

1200 SIBLEY BOULEVARD
CALUMET CITY, IL
ZIP 60409-327
Phone: (708) 862-6454
Fax: (708) 862-6540

The provider's authorized official is John D 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 14D2119880 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 6/14/2022.


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
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: 5/5/2024

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