Organization
TOTAL RENAL CARE INC
Active
Other names
Weber Valley Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER/TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1920 W 250 N, MARRIOTT-SLATERVILLE CITY, UT 84404-9233
(801) 731-4178
(801) 731-1286
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
86607
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023284171
—
UT
Enumeration date
05/07/2008
Last updated
06/03/2020
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