Organization
TOTAL RENAL CARE INC
Active
Other names
Klamath Falls 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
2421 WASHBURN WAY STE B, KLAMATH FALLS, OR 97603-4531
(541) 882-3401
(541) 273-7431
Mailing address
5200 VIRGINIA WAY, L&C DEPT, 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
—
111416745
—
OR
Enumeration date
03/04/2009
Last updated
10/23/2024
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