NPI age
20 years
Enumerated 2006-05-16
● Active Type 2 · Organization
Total Renal Care Inc
Total Renal Care Inc is 1 of 46 clinic/center organizations in Idaho.
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
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
5610 W Gage St Ste B
Boise, ID 837061332
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel T Wey
Vp Licensure & Certification
📞 6153416641
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807605600 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Table Rock Dialysis Center
-
Table Rock Dialysis Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.