institution
Four Corners Ambulatory Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Farmington, New Mexico
NPI 1104990050

Four Corners Ambulatory Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Farmington, NM and is specialized in Ambulatory Surgical. Four Corners Ambulatory Surgery Center, Llc practices in Farmington, NM. The NPI Number for Four Corners Ambulatory Surgery Center, Llc is 1104990050 and holds a License No. 6701 (New Mexico).

The current practice location address for Four Corners Ambulatory Surgery Center, Llc is 2300 E 30Th St Bldg A, Farmington, NM and can be reached out via phone at 505-564-2300 and via fax at 505-564-2210.

Location: 2300 E 30Th St Bldg A, Farmington, NM, 87401-8991
institution
Provider Profile Details
NPI Number
1104990050
Provider Name
Four Corners Ambulatory Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
2300 E 30Th St Bldg A, Farmington, NM, 87401-8991
Phone Number
505-564-2300
Fax Number
505-564-2210
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S7971 05 NM
institution
Provider Business Practice Location Address Details
Address
2300 E 30Th St Bldg A
City
State
Zip
87401-8991
Phone Number
505-564-2300
Fax Number
505-564-2210
person
Provider Business Mailing Address Details
Address
2300 E 30Th St Bldg A
City
State
Zip
87401-8991
Phone Number
505-564-2300
Fax Number
505-564-2210
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
6701 (New Mexico)
Definition
Definition to come...
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