MEDICARE: TOTAL COLLISION AND INJURY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1457625659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL COLLISION AND INJURY CARE LLC

Provider Business Mailing Address
First Line	:	1776 FOWLER ST
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4833
Country	:	US
Telephone Number	:	509-735-9355
Fax Number	:	509-222-1151

Provider Business Practice Location Address
First Line	:	1776 FOWLER ST
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4833
Country	:	US
Telephone Number	:	509-735-9355
Fax Number	:	509-222-1151

Authorized Official
Title or Position	:	OWNER
Name	:	AARON N JOHNSON
Credential	:	ARNP
Telephone Number	:	509-735-9355

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	03/17/2026

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