MEMPHIS GRACELAND RENAL CENTER
NPI 1467499558
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Memphis, TN

Active since May 31, 2006
4180 AUBURN RD, MEMPHIS, TN 38116(901) 332-8699(901) 332-8234 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 17, 2021, May 18, 2020, Dec 20, 2019 and 2 more (5 updates tracked since 2015).

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About MEMPHIS GRACELAND RENAL CENTER

This page provides the complete NPI Profile along with additional information for Memphis Graceland Renal Center, a provider established in Memphis, Tennessee operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1467499558 assigned on May 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Memphis Graceland Renal Center. The authorized official of this NPI record is John Winstel (Chief Accounting Officer)

NPI
1467499558 Verify this NPI
Provider Legal Name
ISD RENAL INC
Other Organization Name
MEMPHIS GRACELAND RENAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4180 AUBURN RD MEMPHIS, TN 38116
Location Phone
(901) 332-8699
Location Fax
(901) 332-8234
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4514
Mailing Fax
(866) 594-9961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2006
Last Update Date
02-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN WINSTEL

Authorized Official Title
CHIEF ACCOUNTING OFFICER
Authorized Official Phone
(253) 733-4501

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467499558, enumerated as an "organization" on May 31, 2006.

The provider is located at 4180 AUBURN RD MEMPHIS, TN 38116 and the phone number is (901) 332-8699.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.