Organization
TOTAL RENAL CARE INC
Active
Other names
Whidbey Island Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
32650 STATE ROAD 20, BUILDING D; SUITE 101, OAK HARBOR, WA 98277-2641
(360) 240-1596
(360) 240-1730
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
—
1831320753
—
WA
Enumeration date
07/28/2009
Last updated
04/15/2024
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