Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Red Bud, IL

NPI number 1942647995 Active

Practice location

1500 E Market St, Lot 4
Red Bud, IL 62278-2143

Call (618) 282-3444 Map

Fax (618) 282-3578

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: 1942647995
Entity type: Organization (Type 2)
Issued: May 31, 2013
Last updated: Sep 24, 2026
Status: Active

Other names

<unavail>
Red Bud Dialysis · doing business as
Red Bud Dialysis · doing business as

Authorized official

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

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About NPI 1942647995

Total Renal Care Inc's National Provider Identifier is 1942647995, issued on May 31, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Red Bud, IL. The record was last updated on Sep 24, 2026.