Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Memphis Midtown Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3430 SUMMER AVE, MEMPHIS, TN 38122-3610
(901) 454-0815
(901) 454-6437
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
194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442704
—
TN
Enumeration date
01/08/2009
Last updated
02/15/2021
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