Organization
TOTAL RENAL CARE INC
Active
Other names
Fayette County 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
201 MARY HIGGINSON LN, STE A, UNIONTOWN, PA 15401-2658
(724) 437-9480
(724) 437-9646
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
1007734290037
—
PA
Enumeration date
07/24/2013
Last updated
02/06/2023
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