Organization · Type 2 NPI

Total Renal Care Crystal River Dialysis LC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Crystal River, FL

NPI number 1689641102 Active

Practice location

7435 W Gulf To Lake Hwy
Crystal River, FL 34429-7834

Call (352) 564-8400 Map

Fax (352) 564-0147

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: 1689641102
Entity type: Organization (Type 2)
Issued: Mar 2, 2006
Last updated: Jun 19, 2026
Status: Active

Other names

<unavail>
Crystal River Dialysis · doing business as
Crystal River 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 1689641102

Total Renal Care Crystal River Dialysis LC's National Provider Identifier is 1689641102, issued on Mar 2, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Crystal River, FL. The record was last updated on Jun 19, 2026.