Four Corners Nephrology Associates Pc

LBN: Four Corners Nephrology Associates Pc
Four Corners Nephrology Associates Pc is an health care organization with primary practice located at 622 W Maple St Ste H , Farmington NM 87401-6589. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Four Corners Nephrology Associates Pc can be contacted via phone (505) 326-6521, or through Stolworthy, Billie via phone (505) 326-6521.

Contact Information

Primary practice address
622 W Maple St Ste H Farmington NM 87401-6589
Phone: (505) 326-6521
Fax: (505) 325-6699
Website:
Map and Directions
Authorized official contact:
Name: Stolworthy, Billie
Phone: (505) 326-6521

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1144327172
LBN Legal business name Four Corners Nephrology Associates Pc
DBA Doing business as
Authorized official Stolworthy, Billie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 1st, 2011 - about 13 years ago

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 1144327172 NPPES
Arizona MEDICAID 311843
Arizona MEDICAID F3805
Arizona MEDICAID 94004736

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