Organization
TOTAL RENAL CARE INC
Active
Other names
Burnsville Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
501 E NICOLLET BLVD STE 150, BURNSVILLE, MN 55337-6784
(952) 892-1117
(952) 892-6644
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
—
464530800
—
MN
Enumeration date
04/13/2006
Last updated
06/20/2024
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