Organization
TOTAL RENAL CARE INC
Active
Other names
Dayton South 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
4700 SPRINGBORO PIKE, STE A, MORAINE, OH 45439-1964
(937) 294-7188
(937) 294-7370
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1085DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138665
—
OH
Enumeration date
12/12/2013
Last updated
05/27/2021
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