Organization Name: | TRC FOUR CORNERS DIALYSIS CLINICS LLC |
NPI Number: | 1639135379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Mailing Address: | Highway 163 Box 217 Kayenta |
State: | AZ US |
Postal Code: | 86033 |
Phone Number: | 9286978193 |
Fax Number: | 9286978195 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |