Organization
TOTAL RENAL CARE INC
Active
Other names
Petaluma River 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
417 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
(707) 773-1293
(707) 773-1585
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027
(615) 341-6793
(833) 790-2174
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
05/11/2021
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