Organization
TOTAL RENAL CARE INC
Active
Other names
Chesterton 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
711 PLAZA DR, STE 6, CHESTERTON, IN 46304
(219) 926-6049
(219) 926-9201
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911120A
—
IN
Enumeration date
05/20/2008
Last updated
05/27/2022
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