Organization
TOTAL RENAL CARE INC
Active
Other names
Wheeling 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
500 MEDICAL PARK, STE 100, WHEELING, WV 26003-7600
(304) 242-9135
(304) 242-6097
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
—
0271904
—
WV
Enumeration date
05/22/2017
Last updated
10/19/2023
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