Organization
TOTAL RENAL CARE INC
Active
Other names
Utah Valley Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1055 N 500 W STE 221, PROVO, UT 84604-3305
(801) 373-5400
(801) 373-6400
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
2002ESRD9781
UT
Other
Enumeration date
04/14/2006
Last updated
11/07/2024
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