TRC FOUR CORNERS DIALYSIS CLINICS LLC (NPI# 1306499405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306499405 |
| Entity Type | Organization |
| Organization Name | TRC FOUR CORNERS DIALYSIS CLINICS LLC |
| Practice Address |
4525 Rowe Ave Farmington NM 87402-3013 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 5053269102 |
| Mailing Telephone | 6153204224 |
| Mailing Fax Number | 8002934707 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| San Juan Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639135379 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | Highway 163, Kayenta, AZ 86033-9997 | 2006-04-21 |
| 1083670723 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 500 Edgewater Drive, Tuba City, AZ 86045-2905 | 2006-04-21 |
| 1184691909 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 610 E Main St, Ste C, Cortez, CO 81321 | 2006-03-01 |
| Street Address |
4525 ROWE AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866108 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 | 2020-09-18 |
| 1588990303 | Total Renal Care Inc | Clinic/Center | 649 Maple Valley Dr, Farmington, MO 63640-1993 | 2009-10-29 |
| 1952320194 | Dialysis Clinic Inc. | Clinic/Center | 270 Farmington Ave Ste 160, Farmington, CT 06032 | 2006-07-19 |
| 1902834609 | Washington University School of Medicine | Clinic/Center | 201 North A St, Farmington, MO 63640 | 2006-06-29 |
| 1457392789 | Nra Farmington Missouri LLC | Clinic/Center | 1370 W Liberty St, Farmington, MO 63640-1947 | 2006-06-09 |
| 1063477727 | Trc - Four Corners Dialysis Clinics LLC | Clinic/Center | 801 W Broadway, Farmington, NM 87401-5650 | 2006-04-18 |
| 1174882393 | Total Renal Care Inc | Clinic/Center | 11 South Rd, Ste 110, Farmington, CT 06032-2483 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457829269 | Valley Home Dialysis | Clinic/Center | 3900 E Lohman Ave Ste B1, Las Cruces, NM 88011-8268 | 2018-11-09 |
| 1235636283 | Usrc Las Cruces LLC | Clinic/Center | 250 E Amador Ave, Las Cruces, NM 88001-3649 | 2018-04-06 |
| 1124523857 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 5221 Las Soleras Dr, Santa Fe, NM 87507-2101 | 2018-03-26 |
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1124477112 | Home Dialysis of Santa Fe, LLC | Clinic/Center | 2904 Rodeo Park Dr E Ste 300a-1, Santa Fe, NM 87505-6305 | 2016-06-09 |
| 1811358609 | Solid Rock Dialysis, LLC | Clinic/Center | 1580 Highway 264, Suite A, Gallup, NM 87301-3302 | 2016-03-08 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1952770984 | Usrc Clovis, LLC | Clinic/Center | 4024 N Prince St, Clovis, NM 88101-9704 | 2015-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
Please comment or provide details below to improve the information on TRC FOUR CORNERS DIALYSIS CLINICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.