Organization
TOTAL RENAL CARE INC
Active
Other names
Eastern Maine 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
11 SHORT ST, ELLSWORTH, ME 04605-1718
(207) 667-9294
(207) 667-9414
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
38840
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922352301
—
ME
Enumeration date
11/06/2012
Last updated
06/19/2025
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