Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Centralia, WA

NPI number 1396265351 Active

Practice location

1815 Cooks Hill Rd
Centralia, WA 98531-9170

Call (360) 736-1188 Map

Fax (360) 807-0824

Mailing address

5200 Virginia Way
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: 1396265351
Entity type: Organization (Type 2)
Issued: Jun 21, 2017
Last updated: Jul 11, 2024
Status: Active

Other names

<unavail>
Cooks Hill Dialysis · doing business as
Cooks Hill Dialysis · doing business as

Authorized official

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

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About NPI 1396265351

Total Renal Care Inc's National Provider Identifier is 1396265351, issued on Jun 21, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Centralia, WA. The record was last updated on Jul 11, 2024.