Clarksville North Dialysis
LBN: Total Renal Care Inc
Clarksville North Dialysis is an health care organization with primary practice located at 3071 Clay Lewis Rd , Clarksville TN 37040-5141. 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 (931) 552-0644, or through Winstel, John via phone (253) 733-4501.
Contact Information
Primary practice address
3071 Clay Lewis Rd
Clarksville TN 37040-5141
Phone: (931) 552-0644
Fax: (931) 552-6036
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 166 | Tennessee |
Profile Details
NPI number | 1417154998 |
---|---|
LBN Legal business name | Total Renal Care Inc |
DBA Doing business as | Clarksville North Dialysis |
Authorized official | Winstel, John |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 28th, 2007 |
Last updated | Jan 23rd, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417154998 | NPPES |
Tennessee | MEDICAID | 0442672 | |
Tennessee | MEDICAID | 7100030770 |
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