TOTAL RENAL CARE, INC. (NPI# 1699860833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699860833 |
Entity Type | Organization |
Organization Name | TOTAL RENAL CARE, INC. |
Other Organization Name | DAVITA PERITONEAL DIALYSIS PROGRAM - MITCHELL |
Practice Address |
2200 N Kimball St Ste 300 Mitchell SD 57301-1113 |
Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027 |
Practice Telephone | 6153204435 |
Mailing Telephone | 6153204435 |
Mailing Fax Number | 6153204435 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS O USILTON JR. (SR VICE PRESIDENT) |
Authorized Official Telephone | 7705417922 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DaVita Peritoneal Dialysis Program - Mitchell | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
1104387711 | Total Renal Care, Inc. | Clinic/Center | 2 E Clark Bass Blvd Ste 101, Mcalester, OK 74501-4210 | 2019-03-27 |
1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
1477909133 | Total Renal Care, Inc. | Clinic/Center | 4021 Stirrup Creek Dr, Suite 400, Durham, NC 27703-9352 | 2016-05-11 |
1518347517 | Total Renal Care, Inc. | Clinic/Center | 1177 Nw 64th Ter, Gainesville, FL 32605 | 2015-06-04 |
1730569849 | Total Renal Care, Inc. | Clinic/Center | 9420 Forestwood Ln, Ste 100, Manassas, VA 20110-4757 | 2015-06-03 |
1326426529 | Total Renal Care, Inc. | Clinic/Center | 3637 Del Prado Blvd S, Ste 202, Cape Coral, FL 33904-7199 | 2015-05-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | TOTAL RENAL CARE, INC. | 15271 Laguna Canyon Rd, Irvine, CA 92618-3146 |
Oklahoma Business Registrations | TOTAL RENAL CARE, INC. | 21250 Hawthorne Blvd Ste 800, Torrence, CA 90503 |
Oregon Corporations, Companies and Business Names | TOTAL RENAL CARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Washington State Corporations | TOTAL RENAL CARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
Street Address |
2200 N KIMBALL ST STE 300 |
City | MITCHELL |
State | SD |
Zip Code | 57301-1113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528038171 | Family Medical Center, LLC | Family Medicine | 2200 N Kimball St, Ste 400, Mitchell, SD 57301-1199 | 2006-01-25 |
1245522622 | Avera Queen of Peace | Specialist | 2200 N Kimball St, Mitchell, SD 57301-1113 | 2011-05-04 |
1497946149 | Theresa M Campbell PC | Family Medicine | 2200 N Kimball St, Ste 400, Mitchell, SD 57301-1199 | 2007-08-07 |
1285825935 | Mitchell Family Practice, PC | Family Medicine | 2200 N Kimball St, Ste 400, Mitchell, SD 57301-1199 | 2007-08-07 |
1114144375 | Aaron Paul Baas | Surgery | 2200 N Kimball St, Mitchell, SD 57301-1113 | 2007-04-19 |
1164525473 | David T Malters | Internal Medicine | 2200 N Kimball St, Suite 800, Mitchell, SD 57301 | 2006-09-06 |
1467418772 | Dennis Gordon Leland | Surgery | 2200 N Kimball St, Suite 200, Mitchell, SD 57301-1113 | 2006-04-25 |
1922064237 | Michael Dennis Haley | Surgery | 2200 N Kimball St, Suite 200, Mitchell, SD 57301-1113 | 2006-04-25 |
1831155142 | Jerome Kent Howe | Surgery | 2200 N Kimball St, Suite 200, Mitchell, SD 57301-1113 | 2006-04-25 |
1073583621 | Theresa M Campbell | Family Medicine | 2200 N Kimball St, Ste 400, Mitchell, SD 57301-1199 | 2006-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
Find all providers in zip 57301 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477512093 | Total Renal Care Inc | Clinic/Center | 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 | 2006-03-22 |
1023413093 | Avera Mckennan | Clinic/Center | 1900 Grassland Dr, Ste 102, Mitchell, SD 57301-6205 | 2014-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437502614 | Total Renal Care Inc | Clinic/Center | 3313 6th Ave Se, Aberdeen, SD 57401-5504 | 2016-07-22 |
1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
1710087713 | Black Hills Dialysis, LLC | Clinic/Center | 100 Dialysis Drive, Pine Ridge, SD 57770-3013 | 2006-09-22 |
1356301519 | Total Renal Care Inc | Clinic/Center | 1 Soldier Creek Rd, Rosebud, SD 57570-0610 | 2006-03-23 |
1033178660 | Total Renal Care Inc | Clinic/Center | 2326 W 69th St, Sioux Falls, SD 57108-5600 | 2006-03-22 |
1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
1952841629 | Avera Mckennan | Clinic/Center | 301 Flynn Dr, Ste 4, Milbank, SD 57252-1508 | 2017-03-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.