NPI 1063477727

Trc - Four Corners Dialysis Clinics LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Farmington, NM

Practice location

Address: 801 W Broadway, Farmington, NM 87401-5650
Phone: (505) 325-2827
Fax: (505) 326-7425
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 6763 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1063477727
Entity type: Organization
NPI issued: 18 Apr 2006
Record last updated: 16 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.