Organization · Type 2 NPI

TRC - Four Corners Dialysis Clinics LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tuba City, AZ

NPI number 1083670723 Active

Practice location

500 Edgewater Drive
Tuba City, AZ 86045-2905

Call (928) 283-4525 Map

Fax (928) 283-4801

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1083670723
Entity type: Organization (Type 2)
Issued: Apr 21, 2006
Last updated: Jul 7, 2026
Status: Active

Other names

<unavail>
Tuba City Dialysis · doing business as
Tuba City Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083670723

TRC - Four Corners Dialysis Clinics LLC's National Provider Identifier is 1083670723, issued on Apr 21, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tuba City, AZ. The record was last updated on Jul 7, 2026.