Organization
TOTAL RENAL CARE INC
Active
Other names
Carquinez 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
125 CORPORATE PL, STE C, VALLEJO, CA 94590-6921
(707) 556-3637
(707) 556-3642
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550000447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740385111
—
CA
Enumeration date
09/13/2006
Last updated
05/30/2023
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