Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1740487057 Active

Practice location

5301 E River Rd Ste 117
Fridley, MN 55421

Call (763) 571-5556 Map

Fax (763) 571-7882

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: 1740487057
Entity type: Organization (Type 2)
Issued: Jun 29, 2007
Last updated: Dec 19, 2024
Status: Active

Other names

<unavail>
East River Road Dialysis · doing business as
East River Road 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 1740487057

Total Renal Care Inc's National Provider Identifier is 1740487057, issued on Jun 29, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fridley, MN. The record was last updated on Dec 19, 2024.