Antelope Dialysis Center

LBN: Total Renal Care Inc
Antelope Dialysis Center is an health care organization with primary practice located at 6406 Tupelo Dr #A, Citrus Heights CA 95621-1741. 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 (916) 721-1800, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
6406 Tupelo Dr #A Citrus Heights CA 95621-1741
Phone: (916) 721-1800
Fax: (916) 721-4376
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X California

Profile Details

NPI number 1356300289
LBN Legal business name Total Renal Care Inc
DBA Doing business as Antelope Dialysis Center
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 26th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356300289 NPPES
California MEDICAID CDC02663G

Popular Providers