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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