Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clarksville, TN

NPI number 1417154998 Active

Practice location

3071 Clay Lewis Rd
Clarksville, TN 37040-5141

Call (931) 552-0644 Map

Fax (931) 552-6036

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	166 (TN)

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

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NPI record

NPI: 1417154998
Entity type: Organization (Type 2)
Issued: Jun 28, 2007
Last updated: Sep 25, 2024
Status: Active

Other names

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Clarksville North Dialysis · doing business as
Clarksville North 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 1417154998

Total Renal Care Inc's National Provider Identifier is 1417154998, issued on Jun 28, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Clarksville, TN. The record was last updated on Sep 25, 2024.