Organization
TOTAL RENAL CARE INC
Active
Other names
Santa Rosa Springs Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
18 E FULTON RD, SANTA ROSA, CA 95403-7580
(707) 544-5043
(707) 544-5063
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6793
(877) 790-2174
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
01/11/2024
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