Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
North Jackson 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
217 STERLING FARM DR, JACKSON, TN 38305-5727
(731) 664-7444
(731) 664-7470
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
0000000086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442600
—
TN
Enumeration date
04/10/2006
Last updated
05/26/2026
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