Trc Pine City

LBN: Total Renal Care Inc
Trc Pine City is an health care organization with primary practice located at 129 6Th Ave Se Lakeside Medical Center, Pine City MN 55063-1913. 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 (763) 444-7245, or through Hilger, James K via phone (253) 733-4500.

Contact Information

Primary practice address
129 6Th Ave Se Lakeside Medical Center Pine City MN 55063-1913
Fax: (763) 444-3997
Website:
Authorized official contact:
Name: Hilger, James K

Health care specialties

Profile Details

NPI number 1700840196
LBN Legal business name Total Renal Care Inc
DBA Doing business as Trc Pine City
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated May 4th, 2017 - about 8 years ago

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 1700840196 NPPES
Wisconsin MEDICAID 82811400
Wisconsin MEDICAID 542812200

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