Organization
TOTAL RENAL CARE INC
Active
Other names
Chinook Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1315 AARON DR, BLDG C1, RICHLAND, WA 99352-4678
(509) 943-4598
(509) 943-8563
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027
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
—
1578701272
—
WA
Enumeration date
02/03/2009
Last updated
05/08/2025
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