Total Renal Care INC

NPI #1467420331 in Longmont, Colorado

Provider Information

NPI Number: 1467420331
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 8, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 1700 KYLIE DR
Address 2: STE 170
City: Longmont
State: Colorado
ZIP Code: 80501-9772
Phone: (303) 485-4084

Authorized Official

Name: THOMAS O USILTON JR.
Title: GROUP VICE PRESIDENT
Phone: (770) 541-7922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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