Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · West Bountiful, UT

NPI number 1629032610 Active

Practice location

724 W 500 S, Ste 300
West Bountiful, UT 84087

Call (801) 296-9091 Map

Fax (801) 296-9094

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	2017-ESRD-928 (UT)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1629032610
Entity type: Organization (Type 2)
Issued: Apr 14, 2006
Last updated: Jul 15, 2020
Status: Active

Other names

<unavail>
West Bountiful Dialysis · doing business as
West Bountiful Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629032610

Total Renal Care Inc's National Provider Identifier is 1629032610, issued on Apr 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in West Bountiful, UT. The record was last updated on Jul 15, 2020.