NPI 1104990050

Four Corners Ambulatory Surgery Center, LLC

Organisation Ambulatory Surgical Clinic/Center Farmington, NM

Practice location

Address: 2300 E 30th St Bldg a, Farmington, NM 87401-8991
Phone: (505) 564-2300
Fax: (505) 564-2210

Authorised official

Name: Charles Redwing
Title: Executive Director
Phone: (505) 564-2300

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 6701 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1104990050
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 8 Apr 2010

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.