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Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Caldwell, Idaho
NPI 1619129020

Total Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Total Renal Care Inc practices in Caldwell, ID. The NPI Number for Total Renal Care Inc is 1619129020 and holds a License No. (Idaho).

The current practice location address for Total Renal Care Inc is 4716 Beacon Ln, Caldwell, ID and can be reached out via phone at 208-454-8260 and via fax at 208-454-8204.

Location: 4716 Beacon Ln, Caldwell, ID, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619129020
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
4716 Beacon Ln, Caldwell, ID, 37027-7569
Phone Number
208-454-8260
Fax Number
208-454-8204
Provider Enumeration Date
10/16/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808415200 05 ID
institution
Provider Business Practice Location Address Details
Address
4716 Beacon Ln
City
Caldwell
State
Idaho
Zip
83605-4834
Phone Number
208-454-8260
Fax Number
208-454-8204
person
Provider Business Mailing Address Details
Address
4716 Beacon Ln
City
Caldwell
State
Idaho
Zip
83605-4834
Phone Number
208-454-8260
Fax Number
208-454-8204
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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