Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Longs, SC

NPI number 1083885776 Active

Practice location

90 Cloverleaf Dr, Ste 306
Longs, SC 29568-9262

Call (843) 582-0582 Map

Fax (843) 582-0448

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ERD-0185 (SC)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1083885776
Entity type: Organization (Type 2)
Issued: Mar 20, 2008
Last updated: Aug 11, 2023
Status: Active

Other names

<unavail>
Longs Dialysis · doing business as
Longs Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director,licensure&certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083885776

Total Renal Care Inc's National Provider Identifier is 1083885776, issued on Mar 20, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Longs, SC. The record was last updated on Aug 11, 2023.