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Organization

TOTAL RENAL CARE INC

Active
Other names
Provo Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
1675 N FREEDOM BLVD STE 15, PROVO, UT 84604-6909
(801) 373-0169
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569

Taxonomy

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

Other

Enumeration date
12/21/2021
Last updated
12/21/2021
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