OrganizationActive
Fanthorp Dialysis LLC
NPI 1538414941 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mankato, MN
Provider details
- NPI number
- 1538414941
- 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
Ambulatory Health Care Facilities
Practice location
1400 Madison Ave Ste 400
Mankato, MN 56001-5476
Phone: (507) 385-0432
Fax: (507) 385-1584
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Dialysis at Mankato Clinic
- Doing business as
- Dialysis at Mankato Clinic
Registry dates
- Enumerated
- 2012-07-23
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.