Organization
TOTAL RENAL CARE INC
Active
Other names
Indy South Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
972 EMERSON PKWY STE E, GREENWOOD, IN 46143
(317) 881-0641
(317) 881-5451
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884510 A
—
IN
01
—
=========
TRICARE
—
Enumeration date
09/11/2007
Last updated
06/05/2023
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