Organization
TOTAL RENAL CARE INC
Active
Other names
Scottsdale Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
5705 N SCOTTSDALE RD STE 120, SCOTTSDALE, AZ 85250-5910
(480) 941-3860
(480) 941-4191
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC6945
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019018
—
AZ
Enumeration date
06/18/2014
Last updated
10/16/2020
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