OrganizationActive
Total Renal Care Inc
NPI 1114981107 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Provo, UT
Provider details
- NPI number
- 1114981107
- 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
- License
- 2002ESRD9781 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1055 N 500 W Ste 221
Provo, UT 84604-3305
Phone: (801) 373-5400
Fax: (801) 373-6400
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Utah Valley Dialysis Center
- Doing business as
- Utah Valley Dialysis Center
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.