Total Renal Care Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

TOTAL RENAL CARE INC

Practice address

1420 E College Dr
Ste 600
Marshall, MN 56258-2065

Phone

(507) 532-7393

Fax

(507) 532-5776

NPI assigned

Apr 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marshall Dialysis Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

End-stage renal disease facility certification: CCN 242502

Legal name

MARSHALL DIALYSIS CENTER OF DAVITA

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Nov 14, 1990

Last certification

Mar 21, 2018

Ownership / control type

For Profit

Multi-facility organization

DAVITA INC

Facility address

1420 E College Drive
Marshall, MN 56258

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1750345153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4514",
            "fax_number": "866-594-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COLLEGE DR",
            "address_2": "STE 600",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582065",
            "telephone_number": "507-532-7393",
            "fax_number": "507-532-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003029500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82675900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Marie Thooft, RDA
• Jana Michelle Timmerman, BS
• Stacey Tischer, PHARMD
• Kelsey L Tollefson, MSW, LICSW
• Total Renal Care Inc
• Touching Hearts Home Care LLC
• Victoria Towne
• Nicole D Traen, RN
• Chelsea Elizabeth Trump, LMFT
• Sandra Kay Turbes, FNP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marshall, MN
• Providers in Marshall, MN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.