Tuba City Dialysis
LBN: Trc - Four Corners Dialysis Clinics Llc
Tuba City Dialysis is an health care organization with primary practice located at 500 Edgewater Drive , Tuba City AZ 86045-2905. 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 (928) 283-4525, or through Wey, Samuel T via phone (615) 341-6641.
Contact Information
Primary practice address
500 Edgewater Drive
Tuba City AZ 86045-2905
Phone: (928) 283-4525
Fax: (928) 283-4801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
NPI number | 1083670723 |
---|---|
LBN Legal business name | Trc - Four Corners Dialysis Clinics Llc |
DBA Doing business as | Tuba City Dialysis |
Authorized official | Wey, Samuel T |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | May 22nd, 2024 - about 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083670723 | NPPES |
Arizona | MEDICAID | 472663 | |
Arizona | MEDICAID | 953372911019 |
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