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NPI Code Detail

MEDICARE: TOTAL RENAL CARE INC

MEDICARE: TOTAL RENAL CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1912448374
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL RENAL CARE INC
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : ATT: L&C DEPT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : W175N11056 STONEWOOD DR
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4799
Country : US
Telephone Number : 262-251-4047
Fax Number : 262-251-4171
Authorized Official
Title or Position : VP LICENSURE & CERTIFICATION
Name : SAMUEL T WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 03/17/2017
Last Update Date : 03/03/2026

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