Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Waterbury, CT

NPI number 1104010768 Active

Practice location

150 Mattatuck Heights Rd
Waterbury, CT 06705-3893

Call (203) 419-0488 Map

Fax (203) 465-0197

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	None listed

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

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NPI record

NPI: 1104010768
Entity type: Organization (Type 2)
Issued: Aug 28, 2007
Last updated: Sep 26, 2024
Status: Active

Other names

<unavail>
Waterbury Dialysis Center · doing business as
Waterbury Dialysis Center · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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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 1104010768

Total Renal Care Inc's National Provider Identifier is 1104010768, issued on Aug 28, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Waterbury, CT. The record was last updated on Sep 26, 2024.