Total Renal Care INC
NPI #1962165829 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1962165829
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Nov 9, 2023
Practice Location
- Address
- 2225 TETON PLZ STE A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6494
- Phone
- (208) 715-9570
Authorized Official
- Name
- SAM T WEY
- Title
- SR DIRECTOR LICENSURE/CERTIFICATION
- Phone
- (615) 341-6691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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