Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Cleveland, OH. Organization (NPI-2).
NPI number1407186018
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1407186018
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2010
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 0961DC | OH | Yes |
Other names
- St V Quadrangle Dialysis (Doing Business As)
Practice location
2302 Community College AveCleveland, OH 44115-3117
Phone 216-574-4805 · Fax 216-574-4901
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Phone 615-238-3051 · Fax 800-246-8346
Authorized official
John D Winstel
Chief Accounting Officer
2537334501
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