Organization
TOTAL RENAL CARE INC
Active
Other names
Edgemont 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
8 VIEUX CARRE DR, EAST SAINT LOUIS, IL 62203-1923
(618) 398-3809
(618) 398-3881
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
04/07/2026
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