Trc - Four Corners Dialysis Clinics LLC

NPI #1487619326 in Shiprock, New Mexico

Provider Information

NPI Number
1487619326
Entity Type
Organization
Organization Name
Trc - Four Corners Dialysis Clinics LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 20, 2006
Last Updated
Oct 15, 2025

Practice Location

Address
US HIGHWAY 491 NORTH
ZIP Code
87420-2156
Phone
(505) 368-4125

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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