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Organization

RENAL TREATMENT CENTERS CALIFORNIA INC

Active
Other names
Clearlake 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
14400 OLYMPIC DR, CLEARLAKE, CA 95422-8809
(707) 994-9785
(707) 994-9790
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550000609
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275661506
CA
Enumeration date
02/28/2007
Last updated
10/03/2022
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