Total Renal Care INC

NPI #1104586056 in Payson, Utah

Provider Information

NPI Number: 1104586056
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 20, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 15 S 1000 E STE 50
City: Payson
State: Utah
ZIP Code: 84651-5591
Phone: (801) 465-2060

Authorized Official

Name: JOHN WINSTEL
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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