Organization
TOTAL RENAL CARE INC
Active
Other names
Vincennes Home 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
700 WILLOW ST, SUITE 102, VINCENNES, IN 47591-1029
(812) 886-9034
(812) 886-9036
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
03/31/2025
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