Organization · Type 2 NPI

TRC - Indiana LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gary, IN

NPI number 1952364648 Active

Practice location

4802 Broadway
Gary, IN 46408-4509

Call (219) 887-1199 Map

Fax (219) 887-1605

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...

4 other providers at this address

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

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NPI record

NPI: 1952364648
Entity type: Organization (Type 2)
Issued: Apr 11, 2006
Last updated: Jul 31, 2024
Status: Active

Other names

<unavail>
Comprehensive Renal Care Gary · doing business as
Comprehensive Renal Care Gary · doing business as

Authorized official

Samuel 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 1952364648

TRC - Indiana LLC's National Provider Identifier is 1952364648, issued on Apr 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gary, IN. The record was last updated on Jul 31, 2024.