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Total Renal Care Inc — NPI 1376203125, Provo, UT | NPI Central

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NPI 1376203125

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Total Renal Care Inc

NPI 1376203125 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT

Provider details

NPI number: 1376203125
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: John Winstel, Chief Accounting Officer(253) 733-4501

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

1675 N Freedom Blvd Ste 15

Provo, UT 84604-6909

Phone: (801) 373-0169

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

5200 Virginia Way

Brentwood, TN 37027-7569

Other names (DBA / former)

Doing business as: Provo Dialysis

Registry dates

Enumerated: 2021-12-21
Last updated: 2021-12-21
Certified: 2021-12-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.