Organization
TOTAL RENAL CARE INC
Active
Other names
Medina Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICAITON)
(615) 341-6641
Entity
Organization
Contact information
Practice address
210 GRACE CV, MEDINA, TN 38355-8738
(731) 783-0527
(731) 783-5420
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020960
—
TN
Enumeration date
03/18/2015
Last updated
01/21/2026
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