Organization
TOTAL RENAL CARE INC
Active
Other names
Mesa County 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
561 25 RD, STE D, GRAND JUNCTION, CO 81505-1360
(970) 248-9120
(970) 248-9125
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
00509370
—
CO
01
—
12C442
LICENSE
CO
Enumeration date
08/24/2009
Last updated
12/01/2025
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