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Organization

TOTAL RENAL CARE INC

Active
Other names
Wyoming 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
5657 257TH ST, WYOMING, MN 55092-8068
(651) 408-8938
(651) 462-8176
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
017814400
MN
Enumeration date
04/13/2006
Last updated
07/17/2025
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