Organization
TOTAL RENAL CARE INC
Active
Other names
Commerce City 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
6320 HOLLY ST, COMMERCE CITY, CO 80022
(303) 853-4300
(303) 853-4333
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6264
(800) 297-2925
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09701583
—
CO
01
—
12043Y
STATE LICENSE
CO
Enumeration date
03/01/2006
Last updated
11/30/2023
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