Caldwell Dialysis Center

LBN: Total Renal Care Inc
Caldwell Dialysis Center is an health care organization with primary practice located at 4716 Beacon Ln , Caldwell ID 83605-4834. 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 (208) 454-8260, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
4716 Beacon Ln Caldwell ID 83605-4834
Phone: (208) 454-8260
Fax: (208) 454-8204
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1619129020
LBN Legal business name Total Renal Care Inc
DBA Doing business as Caldwell Dialysis Center
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2008
Last updated Jun 17th, 2020 - about 5 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 1619129020 NPPES
Idaho MEDICAID 808415200

Popular Providers