Total Renal Care INC

NPI #1619129020 in Caldwell, Idaho

Provider Information

NPI Number: 1619129020
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Oct 16, 2008
Last Updated: Oct 10, 2024

Practice Location

Address: 4716 BEACON LN
City: Caldwell
State: Idaho
ZIP Code: 83605-4834
Phone: (208) 454-8260

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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