Total Renal Care INC

NPI #1114981107 in Provo, Utah

Provider Information

NPI Number: 1114981107
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 14, 2006
Last Updated: Nov 7, 2024

Practice Location

Address: 1055 N 500 W STE 221
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 373-5400

Authorized Official

Name: SAMUEL T WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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