Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1710227822 Active

Practice location

4508 City Line Ave
Philadelphia, PA 19131-1509

Call (215) 473-3071 Map

Fax (215) 879-8305

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: 1710227822
Entity type: Organization (Type 2)
Issued: Feb 26, 2013
Last updated: Jan 6, 2025
Status: Active

Other names

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

Authorized official

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

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About NPI 1710227822

Total Renal Care Inc's National Provider Identifier is 1710227822, issued on Feb 26, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 6, 2025.