Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1770548422 Active

Practice location

602 3rd St NW
Cass Lake, MN 56633-3395

Call (218) 335-4095 Map

Fax (218) 335-4188

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: 1770548422
Entity type: Organization (Type 2)
Issued: Apr 18, 2006
Last updated: Jul 24, 2024
Status: Active

Other names

<unavail>
Cass Lake Dialysis Facility · doing business as
Cass Lake Dialysis Facility · doing business as

Authorized official

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

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About NPI 1770548422

Total Renal Care Inc's National Provider Identifier is 1770548422, issued on Apr 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cass Lake, MN. The record was last updated on Jul 24, 2024.