Treasure Valley Dialysis Center

LBN: Total Renal Care Inc
Treasure Valley Dialysis Center is an health care organization with primary practice located at 3045 E St Lukes St Ste 105, Meridian ID 83642. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (208) 887-2174, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
3045 E St Lukes St Ste 105 Meridian ID 83642
Phone: (208) 887-2174
Fax: (208) 887-9437
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1720032535
LBN Legal business name Total Renal Care Inc
DBA Doing business as Treasure Valley Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jan 11th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720032535 NPPES
Idaho MEDICAID 807612400

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