Memorial Plaza Dialysis

LBN: Total Renal Care Inc
Memorial Plaza Dialysis is an health care organization with primary practice located at 3901 University Blvd S Ste 111, Jacksonville FL 32216-4374. 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 (904) 731-0247, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
3901 University Blvd S Ste 111 Jacksonville FL 32216-4374
Phone: (904) 731-0247
Fax: (904) 731-4046
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 1831477173
LBN Legal business name Total Renal Care Inc
DBA Doing business as Memorial Plaza Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2011
Last updated Apr 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831477173 NPPES
Florida MEDICAID 004551200

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