Organization
TOTAL RENAL CARE INC
Active
Other names
Arden Hills Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3900 NORTHWOODS DR, STE 110, ARDEN HILLS, MN 55112-6911
(651) 483-3159
(651) 483-9156
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
—
300827400
—
MN
Enumeration date
04/13/2006
Last updated
07/10/2024
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