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Organization

TOTAL RENAL CARE INC

Active
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Organization

TOTAL RENAL CARE INC

Active
Other names
Cowlitz Dialysis, Woodland Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization

Contact information

Practice address
467 BEECHWOOD ST, WOODLAND, WA 98674-9434
(615) 341-6282
(866) 510-6389
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6282
(866) 510-6389

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/25/2023
Last updated
03/07/2024
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