Trc - Four Corners Dialysis Clinics LLC

NPI #1700842432 in Polacca, Arizona

Provider Information

NPI Number
1700842432
Entity Type
Organization
Organization Name
Trc - Four Corners Dialysis Clinics LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 21, 2006
Last Updated
Dec 9, 2025

Practice Location

Address
HWY 264
Address 2
MILE MARKER 388
State
Arizona
ZIP Code
86042-0964
Phone
(928) 605-4021

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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