Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1861456337 Active

Practice location

3960 Coon Rapids Blvd NW Ste 309
Coon Rapids, MN 55433-2589

Call (763) 421-8717 Map

Fax (763) 421-4789

Mailing address

5200 Virginia Way, Att: 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: 1861456337
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Oct 13, 2025
Status: Active

Other names

<unavail>
Mississippi Gateway Dialysis · doing business as
Coon Rapids Dialysis Unit · former legal business name

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.

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About NPI 1861456337

Total Renal Care Inc's National Provider Identifier is 1861456337, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Oct 13, 2025.