Organization
TOTAL RENAL CARE INC
Active
Other names
Middlebrook 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
12401 MIDDLEBROOK RD STE 160, GERMANTOWN, MD 20874-1523
(301) 540-6020
(301) 540-6030
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
E2625
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421195200
—
MD
Enumeration date
07/29/2011
Last updated
10/16/2025
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