Organization
TOTAL RENAL CARE INC
Active
Other names
Bay City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3170 S PROFESSIONAL DR, BAY CITY, MI 48706-2839
(989) 686-8782
(989) 686-8563
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
1760759864
—
MI
Enumeration date
11/18/2011
Last updated
09/25/2023
Update your record
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