Organization
TOTAL RENAL CARE INC
Active
Other names
Warren Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 728-5570
(814) 728-5574
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
—
1007734290013
—
PA
Enumeration date
10/29/2007
Last updated
11/01/2024
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