OrganizationActive
Total Renal Care, Inc.
NPI 1346903770 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1346903770
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Sam Wey, Sr Director Licensure/Certification
Practice location
1165 Summers Dr
Rexburg, ID 83440-5224
Phone: (208) 516-3868
Fax: (208) 516-3878
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.