Organization
TOTAL RENAL CARE INC
Active
Other names
Lowry Dialysis 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
7465 E 1ST AVE, STE A, DENVER, CO 80230-6877
(303) 367-0946
(303) 367-0951
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
0719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116124500
—
WY
05
—
2086877902
—
KS
05
—
49176323
—
CO
Enumeration date
03/07/2006
Last updated
07/24/2024
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