Trc - Four Corners Dialysis Clinics LLC

NPI #1184691909 in Cortez, Colorado

Provider Information

NPI Number: 1184691909
Entity Type: Organization
Organization Name: Trc - Four Corners Dialysis Clinics LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 1, 2006
Last Updated: Mar 13, 2025

Practice Location

Address: 610 E MAIN ST
Address 2: STE C
City: Cortez
State: Colorado
ZIP Code: 81321
Phone: (970) 565-4302

Authorized Official

Name: SAMUEL T WEY
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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