Organization
TOTAL RENAL CARE INC
Active
Other names
Seaview Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
101 18TH ST SE, LONG BEACH, WA 98631-2500
(360) 642-3442
(360) 642-3460
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
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
—
1194969063
—
WA
Enumeration date
04/23/2009
Last updated
02/02/2024
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