Trc - Four Corners Dialysis Clinics Llc

NPI 1063477727 - Clinic/Center - 261QE0700X

NPI Details
NPI 1063477727
Enumeration Date 04/18/2006
Last Updated 12/23/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JIM JIM
Position CHIEF ACCOUNTING OFFICER
Phone (505) 325-2827
Fax (505) 326-7425
Practice Location
801 W BROADWAY
FARMINGTON NM, 87401-5650, US
Phone (505) 325-2827
Fax (505) 326-7425
Business Location
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD TN, 37027-7569, US
Phone (615) 320-4435
Fax (866) 317-3596
Toxanomy
Taxonomy Code 261QE0700X
License State New Mexico
License Number 6763
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According to our database, Trc - Four Corners Dialysis Clinics Llc NPI is 1063477727, taxonomy code is 261QE0700X and license number is 6763, license state is located at New Mexico. Trc - Four Corners Dialysis Clinics Llc physically located at 801 W Broadway, Farmington NM, 87401-5650. NPI Number 1033115704 has the healthcare provider type.

1063477727 NPI number is provided on an as is basis without warranty of any kind. 1063477727 is maintained by the National Plan & Provider Enumeration System. The contents of Trc - Four Corners Dialysis Clinics Llc are for informational purposes only.