Organization
TOTAL RENAL CARE INC
Active
Other names
Cherry Valley 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
1627 W MAIN ST, NEWARK, OH 43055-1345
(740) 522-1699
(740) 522-1555
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0941DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2996861
—
OH
Enumeration date
06/17/2010
Last updated
08/14/2025
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