Organization
TOTAL RENAL CARE INC
Active
Other names
Coalinga 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
1147 PHELPS AVE, COALINGA, CA 93210-9662
(559) 934-0690
(559) 934-0644
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
550002362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275885766
—
CA
Enumeration date
10/08/2012
Last updated
12/10/2024
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