Organization
TOTAL RENAL CARE INC
Active
Other names
Taylor County Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1595 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718
(270) 465-0787
(270) 789-3626
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000005
—
KY
Enumeration date
03/27/2006
Last updated
09/24/2024
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