Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hannibal, MO

NPI number 1265767628 Active

Practice location

119 Progress Rd
Hannibal, MO 63401-6628

Call (573) 406-0165 Map

Fax (573) 406-0144

Mailing address

5200 Virginia Way, Att: 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...

NPI record

NPI: 1265767628
Entity type: Organization (Type 2)
Issued: Oct 2, 2009
Last updated: Jul 22, 2025
Status: Active

Other names

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

Authorized official

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

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About NPI 1265767628

Total Renal Care Inc's National Provider Identifier is 1265767628, issued on Oct 2, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hannibal, MO. The record was last updated on Jul 22, 2025.