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Organization

TOTAL RENAL CARE INC

Active
Other names
Springfield South 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
2930 S 6TH ST, SPRINGFIELD, IL 62703-5944
(217) 528-1745
(217) 528-8972
Mailing address
5200 VIRGINIA WAY, 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
09/22/2011
Last updated
03/13/2025
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