Organization
TOTAL RENAL CARE INC
Active
Other names
Desert Mountain 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
9220 E MOUNTAIN VIEW RD STE 105, SCOTTSDALE, AZ 85258-5134
(480) 391-2241
(480) 451-8331
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
OTC0403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062919
—
AZ
Enumeration date
04/13/2006
Last updated
09/10/2025
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