P Praxis·MD
● Active Type 2 · Organization

Total Renal Care, Inc.

Clinic/Center·Fruitland, ID· NPI 1083146559 · Enumerated 2017 · 9 years on NPI
Total Renal Care, Inc. is 1 of 46 clinic/center organizations in Idaho.
NPI age
9 years
Enumerated 2017-04-03
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wey
Vp Licensure & Certification
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05

How this organization compares

Across 46 active clinic/center providers in Idaho.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
815 Nw 13th St
Fruitland, ID 836192316
📞 2087641487fax 2087641488
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569

Authorized official

Samuel T Wey
Vp Licensure & Certification
📞 6153416641

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (ID) 1083146559

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Fruitland Dialysis
    Type code 3 recorded 2018-08-02
  • Fruitland Dialysis
    Type code 3 recorded 2017-04-03

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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