Organization
TOTAL RENAL CARE INC
Active
Other names
Woodbury 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
1850 WEIR DR, STE 3, WOODBURY, MN 55125-2260
(651) 730-4522
(651) 730-5089
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
—
42055100
—
WI
05
—
449513600
—
MN
Enumeration date
04/13/2006
Last updated
12/18/2025
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