Organization
TOTAL RENAL CARE INC
Active
Other names
Nampa Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
846 PARKCENTRE WAY, NAMPA, ID 83651
(208) 467-5180
(208) 467-4475
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807605500
—
ID
Enumeration date
05/15/2006
Last updated
12/31/2025
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