DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN – NPI #1366538514
Clinic/Center

DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN is an AHC clinic located in WATERTOWN, SD. NPPES has assigned the NPI number 1366538514 to DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN on October 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN” is a dba name, the actual legal business name for this organization is TOTAL RENAL CARE, INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN below.

NPI Profile for
TOTAL RENAL CARE, INC.

NPI Number
1366538514
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TOTAL RENAL CARE, INC.
Doing Business As (dba): DAVITA PERITONEAL DIALYSIS PROGRAM-WATERTOWN
Primary location
506 1ST AVE SE
WATERTOWN, SD 57201-4402
Phone: (615) 320-4435 Fax:
Mailing address
5200 VIRGINIA WAY
STE 400 L&C
BRENTWOOD, TN 37027
Phone: (770) 541-7922 Fax:
Organization Subpart
No
Authorized Official
THOMAS USILTON
SR VICE PRESIDENT
Phone: (770) 541-7922
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.