Total Renal Care INC
NPI #1164617361 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1164617361
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Sep 11, 2007
Practice Location
- Address
- 900 PANCHERI DR
- Address 2
- STE B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3310
- Phone
- (208) 524-1336
Authorized Official
- Name
- THOMAS O USILTON JR.
- Title
- SR VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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