Four Corners Ambulatory Surgery Center, Llc in Farmington - Ambulatory Surgical
Four Corners Ambulatory Surgery Center, Llc - NPI 1104990050
Four Corners Ambulatory Surgery Center, Llc is a Ambulatory Surgical in Farmington, New Mexico. Four Corners Ambulatory Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Four Corners Ambulatory Surgery Center, Llc is 1104990050. The last update date is 2010-04-08.
Four Corners Ambulatory Surgery Center, Llc's current location address is 2300 E 30th St Bldg A, Farmington, New Mexico. You can contact this provider via phone number 5055642300 and fax number 5055642210. The mailing address for Four Corners Ambulatory Surgery Center, Llc is 2300 E 30th St Bldg A, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four Corners Ambulatory Surgery Center, Llc |
|---|---|
| Address | 2300 E 30th St Bldg A, Farmington, New Mexico |
| Phone Number | 5055642300 |
| Fax Number | 5055642210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Redwing Charles |
| Credentials | FACMPE |
| Telephone Number | 5055642300 |
NPI Number Detail
| NPI Number | 1104990050 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2010-04-08 |
Provider Mailing Address Detail
| Address | 2300 E 30th St Bldg A |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874018991 |
| Phone Number | 5055642300 |
| Fax Number | 5055642210 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 6701 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S7971 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Four Corners Ambulatory Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The Four Corners Ambulatory Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1104990050 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Four Corners Ambulatory Surgery Center, Llc?
The Four Corners Ambulatory Surgery Center, Llc is situated at 2300 E 30Th St Bldg A, in the city of Farmington, state of NM, with the zip code 874018991.
What is the Four Corners Ambulatory Surgery Center, Llc's specialty and taxonomy code?
The Four Corners Ambulatory Surgery Center, Llc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Four Corners Ambulatory Surgery Center, Llc receive the assignment of its 1104990050 from the Centers for Medicare & Medicaid Services?
The Four Corners Ambulatory Surgery Center, Llc was issued its 1104990050 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the details pertaining to Four Corners Ambulatory Surgery Center, Llc last refreshed?
The information related to the Four Corners Ambulatory Surgery Center, Llc, including its address, specialty, and other relevant details, was last updated on 2010-04-08.
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