Total Renal Care INC

NPI #1720032535 in Meridian, Idaho

Provider Information

NPI Number: 1720032535
Entity Type: Organization
Organization Name: Total Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 19, 2006
Last Updated: Jan 11, 2024

Practice Location

Address: 3045 E ST LUKES ST
Address 2: STE 105
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 887-2174

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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