Organization
TOTAL RENAL CARE INC
Active
Other names
MT Adams Kidney 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
3220 PICARD PL, SUNNYSIDE, WA 98944-8400
(509) 837-2013
(509) 837-5270
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
—
3990454
—
WA
05
—
KD208387
—
OR
Enumeration date
04/14/2006
Last updated
05/01/2024
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