Organization
TOTAL RENAL CARE INC
Active
Other names
Boyd 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
925 UNION ST, STE 1, BANGOR, ME 04401-3051
(207) 941-1298
(207) 941-1304
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
38834
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215281712
—
ME
Enumeration date
11/05/2012
Last updated
07/30/2025
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