Four Corners Dialysis Center

LBN: Trc - Four Corners Dialysis Clinics Llc
Four Corners Dialysis Center is an health care organization with primary practice located at 801 W Broadway , Farmington NM 87401-5650. 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. Trc - Four Corners Dialysis Clinics Llc can be contacted via phone (505) 325-2827, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
801 W Broadway Farmington NM 87401-5650
Phone: (505) 325-2827
Fax: (505) 326-7425
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 6763 New Mexico

Profile Details

NPI number 1063477727
LBN Legal business name Trc - Four Corners Dialysis Clinics Llc
DBA Doing business as Four Corners Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 8th, 2022 - about 2 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 1063477727 NPPES
New Mexico MEDICAID 75373
New Mexico MEDICAID 485137

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