OrganizationActive
Total Renal Care Inc
NPI 1720032535 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1720032535
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
3045 E St Lukes St
Ste 105
Meridian, ID 83642-3507
Phone: (208) 887-2174
Fax: (208) 887-9437
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.