Organization
TOTAL RENAL CARE INC
Active
Other names
St Croix Falls Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
744 E LOUISIANA ST, SAINT CROIX FALLS, WI 54024-9501
(715) 483-1555
(715) 483-9639
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6264
(833) 297-2925
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790740561
—
WI
05
—
355312400
—
MN
Enumeration date
04/17/2006
Last updated
03/18/2020
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