Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1225200694 Active

Practice location

400 N 3rd St
Philadelphia, PA 19123-4103

Call (445) 269-2403 Map

Fax (445) 269-2416

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: 1225200694
Entity type: Organization (Type 2)
Issued: Mar 26, 2008
Last updated: Nov 13, 2025
Status: Active

Other names

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Callowhill Dialysis Center · doing business as
Callowhill Dialysis Center · doing business as

Authorized official

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

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About NPI 1225200694

Total Renal Care Inc's National Provider Identifier is 1225200694, issued on Mar 26, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2025.