Organization
TOTAL RENAL CARE INC
Active
Other names
Hoosier Hills Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
143 S KINGSTON DR, BLOOMINGTON, IN 47408-6342
(812) 333-1697
(812) 333-1945
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
—
200982260A
—
IN
Enumeration date
07/10/2009
Last updated
10/15/2025
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