Organization
TURLOCK DIALYSIS CENTER LLC
Active
Other names
Turlock Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
50 W SYRACUSE AVE, TURLOCK, CA 95380-3143
(209) 656-7299
(209) 656-1715
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6793
(877) 790-2174
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942489562
—
CA
Enumeration date
10/31/2007
Last updated
09/25/2020
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