Organization
TOTAL RENAL CARE INC
Active
Other names
Adams County 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
436 N 10TH ST, QUINCY, IL 62301-2601
(217) 223-7913
(217) 223-1369
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
—
1538493937
—
MO
01
—
=========
TRICARE
—
05
—
=========
—
IL
Enumeration date
10/01/2009
Last updated
03/12/2025
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