MEDICARE: TOTAL RENAL CARE INC

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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1285265041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL RENAL CARE INC

Provider Business Mailing Address
First Line	:	2000 16TH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 16TH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5117
Country	:	US
Telephone Number	:	253-733-4500
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ACCOUNTING OFFICER
Name	:	JAMES HILGER
Credential	:
Telephone Number	:	310-536-2400

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	01/30/2020

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Directions to “TOTAL RENAL CARE INC ” Practice Location

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