Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Florissant, MO

NPI number 1679764864 Active

Practice location

13015 New Halls Ferry Rd
Florissant, MO 63033-3228

Call (314) 931-1113 Map

Fax (314) 931-1133

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: 1679764864
Entity type: Organization (Type 2)
Issued: Aug 5, 2007
Last updated: Jun 4, 2025
Status: Active

Other names

<unavail>
North ST Louis County Dialysis · doing business as
North ST Louis County Dialysis · doing business as

Authorized official

Samuel 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 1679764864

Total Renal Care Inc's National Provider Identifier is 1679764864, issued on Aug 5, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Florissant, MO. The record was last updated on Jun 4, 2025.