Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Peninsula Renal Care

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1245259308

Peninsula Renal Care is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salisbury, Missouri. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1340 S Division St Ste 302
Salisbury, MO 21804
Phone: (410) 742-1800
Fax: (410) 548-1288
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Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1245259308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constante Tan — Medical Director · (410) 742-1800
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1340 South Division Street, Ste 302, Salisbury, MO 21804