Organization
TOTAL RENAL CARE INC
Active
Other names
Excelsior Springs 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
1745 W JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1801
(816) 637-2685
(816) 637-2635
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
—
1861834129
—
MO
Enumeration date
07/26/2013
Last updated
08/28/2025
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