TOTAL RENAL CARE INC NPI 1437168580

NPI Information

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Cottage Grove, MN. TOTAL RENAL CARE INC NPI is 1437168580. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottage Grove Dialysis.

The provider's business location address is:

8800 E POINT DOUGLAS RD S
STE 100
COTTAGE GROVE, MN
ZIP 55016-160
Phone: (651) 459-5655
Fax: (651) 459-6696

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 24D1057909 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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