Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Magnolia, AR

NPI number 1902177181 Active

Practice location

405 N Frederick
Magnolia, AR 71753-3116

Call (870) 626-3004 Map

Fax (870) 626-3377

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Magnolia

Collom & Carney Clinic AssociationEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Magnolia, AR NPI 1134101108
Texarkana Kidney Disease & Hypertension Center, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Magnolia, AR NPI 1396807871

See all in Magnolia →

NPI record

NPI: 1902177181
Entity type: Organization (Type 2)
Issued: Jan 20, 2012
Last updated: Oct 26, 2026
Status: Active

Other names

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Southwest Arkansas Dialysis · doing business as
Southwest Arkansas 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 1902177181

Total Renal Care Inc's National Provider Identifier is 1902177181, issued on Jan 20, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Magnolia, AR. The record was last updated on Oct 26, 2026.