Organization
TOTAL RENAL CARE INC
Active
Other names
Pickwick 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
121 PICKWICK ST, SAVANNAH, TN 38372-1953
(731) 926-3188
(731) 925-8652
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3028
(800) 245-9831
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442632
—
TN
Enumeration date
04/07/2006
Last updated
04/27/2020
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