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
Fax: (931) 552-6036
Website:
Authorized official contact:
Name: Winstel, John

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417154998 NPPES
Tennessee MEDICAID 0442672
Tennessee MEDICAID 7100030770

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