Organization
TOTAL RENAL CARE INC
Active
Other names
Cooks Hill 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
1815 COOKS HILL RD, CENTRALIA, WA 98531-9170
(360) 736-1188
(360) 807-0824
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/11/2024
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