Organization
TOTAL RENAL CARE INC
Active
Other names
Yukon Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
12801 NW 10TH ST, SUITE 400, YUKON, OK 73099-4179
(405) 350-3017
(405) 350-0023
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
100757230J
—
OK
Enumeration date
12/17/2014
Last updated
02/08/2021
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