OrganizationActive
Trc - Four Corners Dialysis Clinics LLC
NPI 1306499405 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Farmington, NM
Provider details
- NPI number
- 1306499405
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4525 Rowe Ave
Farmington, NM 87402-3013
Phone: (505) 326-9102
Fax: (505) 326-6633
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027
Other names (DBA / former)
- Doing business as
- San Juan Dialysis
- Doing business as
- San Juan Dialysis
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.