NPI 1083670723

Trc - Four Corners Dialysis Clinics LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Tuba City, AZ

Practice location

Address: 500 Edgewater Drive, Tuba City, AZ 86045-2905
Phone: (928) 283-4525
Fax: (928) 283-4801
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

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1083670723
Entity type: Organization
NPI issued: 21 Apr 2006
Record last updated: 7 Jul 2026

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.