Organization
TOTAL RENAL CARE INC
Active
Other names
Graham 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
10224 196TH STREET CT E STE 300, GRAHAM, WA 98338-8474
(253) 367-0214
(253) 367-0381
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3991163
—
WA
Enumeration date
10/21/2008
Last updated
07/24/2025
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