Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Stillwater, MN

NPI number 1558325910 Active

Practice location

1970 Northwestern Ave S
Stillwater, MN 55082-6567

Call (651) 430-0067 Map

Fax (651) 430-0140

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...

NPI record

NPI: 1558325910
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Feb 4, 2025
Status: Active

Other names

<unavail>
River City Dialysis · doing business as
River City Dialysis · doing business as

Authorized official

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

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About NPI 1558325910

Total Renal Care Inc's National Provider Identifier is 1558325910, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Stillwater, MN. The record was last updated on Feb 4, 2025.