Organization
TOTAL RENAL CARE INC
Active
Other names
Coffee Road Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1328 COFFEE RD, MODESTO, CA 95355-3103
(209) 491-3690
(209) 491-3654
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6282
(866) 510-6389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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