Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Eastern Boulevard 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
246 EASTERN BLVD N STE 105, HAGERSTOWN, MD 21740-6666
(301) 745-4251
(301) 797-4637
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4235517 00
—
MD
Enumeration date
08/06/2014
Last updated
06/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up