Total Renal Care INC

NPI #1740708965 in Boise, Idaho

Provider Information

NPI Number: 1740708965
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Sep 8, 2017
Last Updated: Oct 8, 2020

Practice Location

Address: 1070 N CURTIS RD STE 125
City: Boise
State: Idaho
ZIP Code: 83706
Phone: (208) 375-4027

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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