institution
Trc - Four Corners Dialysis Clinics Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Shiprock, New Mexico
NPI 1487619326

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 Shiprock, NM. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1487619326 and holds a License No. 6762 (New Mexico).

The current practice location address for Trc - Four Corners Dialysis Clinics Llc is Us Highway 491 North, Shiprock, NM and can be reached out via phone at 505-368-4125 and via fax at 505-368-4235.

Location: Us Highway 491 North, Shiprock, NM, 37027-7569
institution
Provider Profile Details
NPI Number
1487619326
Provider Name
Trc - Four Corners Dialysis Clinics Llc
Credential
Provider Entity Type
Organization
Address
Us Highway 491 North, Shiprock, NM, 37027-7569
Phone Number
505-368-4125
Fax Number
505-368-4235
Provider Enumeration Date
04/20/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75514 05 NM
23752734 05 CO
485161 05 AZ
institution
Provider Business Practice Location Address Details
Address
Us Highway 491 North
City
State
Zip
87420-2156
Phone Number
505-368-4125
Fax Number
505-368-4235
person
Provider Business Mailing Address Details
Address
Us Highway 491 North
City
State
Zip
87420-2156
Phone Number
505-368-4125
Fax Number
505-368-4235
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
6762 (New Mexico)
Definition
Definition to come...
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