Organization
TOTAL RENAL CARE INC
Active
Other names
Kolff Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
423 S WAKARA WAY STE 200, SALT LAKE CITY, UT 84108-3534
(385) 433-3146
(385) 433-3152
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
11/04/2021
Last updated
09/30/2024
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