Organization
TOTAL RENAL CARE INC
Active
Other names
Brownsville 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
380 N DUPREE AVE, BROWNSVILLE, TN 38012-2332
(731) 772-3735
(731) 772-9794
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
90
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442599
—
TN
Enumeration date
04/06/2006
Last updated
04/25/2024
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