Trc - Four Corners Dialysis Clinics Llc in Kayenta - End-stage Renal Disease (esrd) Treatment
Trc - Four Corners Dialysis Clinics Llc - NPI 1639135379
Trc - Four Corners Dialysis Clinics Llc is a End-stage Renal Disease (esrd) Treatment in Kayenta, Arizona. Trc - Four Corners Dialysis Clinics Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1639135379. The last update date is 2023-09-27.
Trc - Four Corners Dialysis Clinics Llc's current location address is Highway 163 #217, Kayenta, Arizona. You can contact this provider via phone number 9286978182 and fax number 9286978195. The mailing address for Trc - Four Corners Dialysis Clinics Llc is Highway 163 #217, Kayenta, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trc - Four Corners Dialysis Clinics Llc |
|---|---|
| Address | Highway 163 #217, Kayenta, Arizona |
| Phone Number | 9286978182 |
| Fax Number | 9286978195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1639135379 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2023-09-27 |
Provider Mailing Address Detail
| Address | Highway 163 #217 |
|---|---|
| City | Kayenta |
| State | Arizona (AZ) |
| Post Code | 860339997 |
| Phone Number | 9286978182 |
| Fax Number | 9286978195 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 472655 | AZ | -- |
Post Comment/ Review Below
What is the Trc - Four Corners Dialysis Clinics Llc's unique identification number?
The Trc - Four Corners Dialysis Clinics Llc has been assigned the NPI (National Provider Identifier) Number 1639135379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Trc - Four Corners Dialysis Clinics Llc is physically located?
The Trc - Four Corners Dialysis Clinics Llc is situated at the following address: Highway 163 #217, Kayenta, AZ 860339997.
What is the Trc - Four Corners Dialysis Clinics Llc's specialty and taxonomy code?
The Trc - Four Corners Dialysis Clinics Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639135379 to Trc - Four Corners Dialysis Clinics Llc?
The Centers for Medicare & Medicaid Services assigned the 1639135379 to Trc - Four Corners Dialysis Clinics Llc on 2006-04-21.
When was the information regarding Trc - Four Corners Dialysis Clinics Llc most recently updated?
The details pertaining to the Trc - Four Corners Dialysis Clinics Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-09-27.
NPI Number: 1962405878
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