Organization
ISD RENAL INC
Active
Other names
Renal Care of Central Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1331 UNION AVE, STE 101, MEMPHIS, TN 38104-7559
(901) 278-5400
(901) 278-5200
Mailing address
5200 VIRGINIA WAY, L&C DEPT, 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
121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442637
—
TN
Enumeration date
05/25/2006
Last updated
02/18/2021
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