institution
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Provo, Utah
NPI 1811139561

Total Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, UT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Total Renal Care Inc practices in Provo, UT. The NPI Number for Total Renal Care Inc is 1811139561 and holds a License No. 2018-ESRD-44948 (Utah).

The current practice location address for Total Renal Care Inc is 1055 N 500 W Ste 222, Provo, UT and can be reached out via phone at 801-356-8907 and via fax at 801-356-2481. You can also correspond with Total Renal Care Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6814).

Location: 1055 N 500 W Ste 222, Provo, UT, 37027-7569
institution
Provider Profile Details
NPI Number
1811139561
Provider Name
Total Renal Care Inc
Credential
Provider Entity Type
Organization
Address
1055 N 500 W Ste 222, Provo, UT, 37027-7569
Phone Number
801-356-8907
Fax Number
801-356-2481
Provider Enumeration Date
03/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811139561 05 UT
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W Ste 222
City
State
Zip
84604-3305
Phone Number
801-356-8907
Fax Number
801-356-2481
person
Provider Business Mailing Address Details
Address
1055 N 500 W Ste 222
City
State
Zip
84604-3305
Phone Number
801-356-8907
Fax Number
801-356-2481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
2018-ESRD-44948 (Utah)
Definition
Definition to come...
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