Organization
TOTAL RENAL CARE INC
Active
Other names
Upper Sandusky 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
111 TARHE TRL, UPPER SANDUSKY, OH 43351-8706
(419) 209-0799
(419) 209-0921
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
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
—
0263507
—
OH
Enumeration date
04/17/2017
Last updated
11/17/2023
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