Organization
TOTAL RENAL CARE INC
Active
Other names
Bakersfield Oak St 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
422 OAK ST, BAKERSFIELD, CA 93304-1744
(661) 631-0227
(661) 631-0501
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
550002849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154759694
—
CA
Enumeration date
10/18/2013
Last updated
05/08/2024
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