OrganizationActive
Trc - Four Corners Dialysis Clinics LLC
NPI 1487619326 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Shiprock, NM
Provider details
- NPI number
- 1487619326
- 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
- License
- 6762 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
US Highway 491 North
Shiprock, NM 87420-2156
Phone: (505) 368-4125
Fax: (505) 368-4235
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Shiprock Dialysis Center
- Doing business as
- Shiprock Dialysis Center
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.