Organization
TOTAL RENAL CARE INC
Active
Other names
Rosebud 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
1 SOLDIER CREEK RD, ROSEBUD, SD 57570-0610
(605) 747-2916
(605) 747-2699
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
—
0598805
—
IA
05
—
5400593
—
SD
Enumeration date
03/23/2006
Last updated
11/06/2024
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