PENINSULA RENAL CARE
NPI 1245259308
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Salisbury, MO

Active since July 19, 2006
1340 SOUTH DIVISION STREET, STE 302, SALISBURY, MO 21804(410) 742-1800(410) 548-1288 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Renal Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA RENAL CARE (NPI 1245259308) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Salisbury, Missouri and active in the NPI registry since July 2006. The organization lists Constante J Tan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1245259308
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePENINSULA RENAL CARE
Location Address1340 SOUTH DIVISION STREET, STE 302Salisbury, MO 21804
Mailing Address1340 South Division Street, Ste 302Salisbury, MO 21804 · (410) 742-1800 · Fax (410) 548-1288
Fax(410) 548-1288
Organization SubpartNo
Authorized OfficialConstante J TanMedical Director · (410) 742-1800
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1245259308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1340 SOUTH DIVISION STREET, Salisbury, MO 21804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Renal Care's NPI number?

The NPI number for Peninsula Renal Care is 1245259308. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Peninsula Renal Care located?

Peninsula Renal Care is located at 1340 South Division Street Ste 302, Salisbury, MO 21804. The listed phone number is (410) 742-1800.

What is Peninsula Renal Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Peninsula Renal Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.