Organization
TOTAL RENAL CARE INC
Active
Other names
Newburgh 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
4311 HIGHWAY 261, STE A, NEWBURGH, IN 47630-2653
(812) 853-2010
(812) 853-3601
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201008790A
—
IN
Enumeration date
01/12/2010
Last updated
11/12/2020
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