Organization
TOTAL RENAL CARE INC
Active
Other names
Irish 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
4350 S IRONWOOD DR, SOUTH BEND, IN 46614-0001
(574) 299-4529
(574) 299-4737
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201328950A
—
IN
Enumeration date
10/14/2014
Last updated
03/02/2026
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