Organization
TOTAL RENAL CARE INC
Active
Other names
Woodbine Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5209 LINBAR DR STE 605, NASHVILLE, TN 37211-1037
(615) 333-9765
(615) 333-9331
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003362294
—
TN
Enumeration date
08/29/2016
Last updated
11/25/2024
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