Market Commons Dialysis Center

LBN: Total Renal Care Inc
Market Commons Dialysis Center is an health care organization with primary practice located at 1350 Farrow Pkwy Suite 100, Myrtle Beach SC 29577-2060. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (843) 839-0966, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
1350 Farrow Pkwy Suite 100 Myrtle Beach SC 29577-2060
Phone: (843) 839-0966
Fax: (843) 839-0977
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ERD-0211 South Carolina

Profile Details

NPI number 1609206200
LBN Legal business name Total Renal Care Inc
DBA Doing business as Market Commons Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2013
Last updated Apr 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609206200 NPPES
South Carolina MEDICAID RE0058

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