Total Renal Care INC

NPI #1376203125 in Provo, Utah

Provider Information

NPI Number: 1376203125
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 21, 2021
Last Updated: Dec 21, 2021

Practice Location

Address: 1675 N FREEDOM BLVD STE 15
City: Provo
State: Utah
ZIP Code: 84604-6909
Phone: (801) 373-0169

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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