Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Montrose, CO

NPI number 1891011623 Active

Practice location

3421 S Rio Grande Ave, Unit D1
Montrose, CO 81401-4840

Call (970) 240-7925 Map

Fax (970) 240-6197

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: 1891011623
Entity type: Organization (Type 2)
Issued: Apr 19, 2010
Last updated: Nov 2, 2026
Status: Active

Other names

<unavail>
Black Canyon Dialysis · doing business as
Black Canyon 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 1891011623

Total Renal Care Inc's National Provider Identifier is 1891011623, issued on Apr 19, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Montrose, CO. The record was last updated on Nov 2, 2026.