Peninsula Renal Care

Peninsula Renal Care is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salisbury, MO, holding Type 2 (organization) NPI 1245259308 since 2006. The authorized official on file is Constante Tan, Medical Director.

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NPI	1245259308
Entity type	Organization (Type 2)
Legal business name	Peninsula Renal Care
Practice address	1340 SOUTH DIVISION STREET, STE 302, Salisbury, MO, 21804
Phone	4107421800
Fax	4105481288
Enumeration date	2006-07-19
Last updated in NPPES	2020-08-22

Authorized official

Name	Constante Tan
Title	Medical Director
Phone	4107421800

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Peninsula Renal Care
NPI: 1245259308
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 1340 SOUTH DIVISION STREET, STE 302, Salisbury, MO, 21804

Verify this record

Cross-check NPI 1245259308 against the authoritative CMS record: view Peninsula Renal Care on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Peninsula Renal Care located?

The practice location on file with NPPES is in Salisbury, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.