institution
Trc - Four Corners Dialysis Clinics Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Farmington, New Mexico
NPI 1063477727

Trc - Four Corners Dialysis Clinics Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, NM and is specialized in End-Stage Renal Disease (ESRD) Treatment. Trc - Four Corners Dialysis Clinics Llc practices in Farmington, NM. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1063477727 and holds a License No. 6763 (New Mexico).

The current practice location address for Trc - Four Corners Dialysis Clinics Llc is 801 W Broadway, Farmington, NM and can be reached out via phone at 505-325-2827 and via fax at 505-326-7425.

Location: 801 W Broadway, Farmington, NM, 37027-7569
institution
Provider Profile Details
NPI Number
1063477727
Provider Name
Trc - Four Corners Dialysis Clinics Llc
Credential
Provider Entity Type
Organization
Address
801 W Broadway, Farmington, NM, 37027-7569
Phone Number
505-325-2827
Fax Number
505-326-7425
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75373 05 NM
485137 05 AZ
institution
Provider Business Practice Location Address Details
Address
801 W Broadway
City
State
Zip
87401-5650
Phone Number
505-325-2827
Fax Number
505-326-7425
person
Provider Business Mailing Address Details
Address
801 W Broadway
City
State
Zip
87401-5650
Phone Number
505-325-2827
Fax Number
505-326-7425
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
6763 (New Mexico)
Definition
Definition to come...
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