Organization
TOTAL RENAL CARE INC
Active
Other names
Springdale 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
2070 MCKENZIE RD, STE B, SPRINGDALE, AR 72762-0870
(479) 927-1957
(479) 751-0523
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
168259134
—
AR
Enumeration date
02/04/2008
Last updated
01/11/2024
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