Organization
TOTAL RENAL CARE INC
Active
Other names
Jefferson Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR. DIR. LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11234 JEFFERSON AVE, NEWPORT NEWS, VA 23601-2207
(757) 595-6167
(757) 595-6210
Mailing address
5200 VIRGINIA WAY, L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
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
—
1124350723
—
VA
Enumeration date
02/05/2010
Last updated
09/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us