Organization
TOTAL RENAL CARE INC
Active
Other names
Mitchell Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
819 E SPRUCE ST, STE 100, MITCHELL, SD 57301-4800
(605) 996-0097
(605) 996-0679
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
5400592
—
SD
05
—
859298500
—
MN
Enumeration date
03/22/2006
Last updated
09/25/2023
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