OrganizationActive
Total Renal Care, Inc.
NPI 1083146559 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fruitland, ID
Provider details
- NPI number
- 1083146559
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
815 Nw 13th St
Fruitland, ID 83619-2316
Phone: (208) 764-1487
Fax: (208) 764-1488
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Fruitland Dialysis
- Doing business as
- Fruitland Dialysis
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.