Organization
TOTAL RENAL CARE INC
Active
Other names
Fallon Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1103 NEW RIVER PKWY, FALLON, NV 89406-6899
(775) 428-2077
(775) 428-2184
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
5013ESR-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093927824
—
NV
Enumeration date
05/04/2007
Last updated
09/23/2025
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