Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Santa Rosa, CA

NPI number 1508224726 Active

Practice location

18 E Fulton Rd
Santa Rosa, CA 95403-7580

Call (707) 544-5043 Map

Fax (707) 544-5063

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: 1508224726
Entity type: Organization (Type 2)
Issued: Feb 2, 2016
Last updated: Jan 11, 2024
Status: Active

Other names

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Santa Rosa Springs Dialysis · doing business as
Santa Rosa Springs Dialysis · doing business as

Authorized official

Sam T Wey
VP Licensure&certification
(615) 341-6641

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About NPI 1508224726

Total Renal Care Inc's National Provider Identifier is 1508224726, issued on Feb 2, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 11, 2024.