Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit, MI

NPI number 1285942409 Active

Practice location

19800 Woodward Ave
Detroit, MI 48203-5102

Call (313) 893-8610 Map

Fax (313) 893-8865

Mailing address

5200 Virginia Way, Att: L&c Department
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...

2 other providers at this address

Afton Nephrology AssociatesEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Detroit, MI NPI 1538265335
Rachel Donaldson, MDNephrology Physician Detroit, MI NPI 1528164316

Other end-stage renal disease (esrd) treatment clinic/center providers in Detroit

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NPI record

NPI: 1285942409
Entity type: Organization (Type 2)
Issued: Sep 22, 2010
Last updated: Apr 29, 2024
Status: Active

Other names

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State Fair Dialysis · doing business as
State Fair Dialysis · doing business as

Authorized official

Samuel T 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 1285942409

Total Renal Care Inc's National Provider Identifier is 1285942409, issued on Sep 22, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Detroit, MI. The record was last updated on Apr 29, 2024.