Archway Dialysis Of Modesto

LBN: Total Renal Care, Inc.
Archway Dialysis Of Modesto is an health care organization with primary practice located at 3001 Health Care Way Bldg E, Ste 102, Modesto CA 95356-8510. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care, Inc. can be contacted via phone (209) 543-1720, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
3001 Health Care Way Bldg E, Ste 102 Modesto CA 95356-8510
Phone: (209) 543-1720
Fax: (209) 543-1596
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1396176020
LBN Legal business name Total Renal Care, Inc.
DBA Doing business as Archway Dialysis Of Modesto
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2013
Last updated Mar 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396176020 NPPES
California MEDICAID 1396176020

Popular Providers