Organization
TOTAL RENAL CARE INC
Active
Other names
Rivers Edge 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
1006 E STATE ST, STE B, ATHENS, OH 45701-2158
(740) 592-1364
(740) 593-3876
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
3040935
—
OH
01
—
=========
TRICARE
—
Enumeration date
01/02/2009
Last updated
09/24/2024
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