Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Springfield, IL

NPI number 1659654010 Active

Practice location

2930 S 6th St
Springfield, IL 62703-5944

Call (217) 528-1745 Map

Fax (217) 528-8972

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...

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

See all in Springfield →

NPI record

NPI: 1659654010
Entity type: Organization (Type 2)
Issued: Sep 22, 2011
Last updated: Mar 13, 2025
Status: Active

Other names

<unavail>
Springfield South Dialysis · doing business as
Springfield South Dialysis · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1659654010

Total Renal Care Inc's National Provider Identifier is 1659654010, issued on Sep 22, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Springfield, IL. The record was last updated on Mar 13, 2025.