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Total Renal Care INC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Memphis, TN. Organization (NPI-2).

NPI number1760629083
StatusActive
Last updated in NPPESFeb 15, 2021

Details

NPI
1760629083
Entity type
Organization (NPI-2)
Legal business name
Total Renal Care INC
Organization subpart
No
Enumeration date
Jan 8, 2009
Certification date
Feb 15, 2021
Last updated
Feb 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment194TNYes

Other names

  • Memphis Midtown Dialysis (Doing Business As)

Practice location

3430 Summer Ave
Memphis, TN 38122-3610

Phone 901-454-0815 · Fax 901-454-6437

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569

Phone 615-320-4514 · Fax 866-594-9961

Authorized official

John Winstel
Chief Accounting Officer
2537334501

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