Organization · Type 2 NPI
Four Corners Ambulatory Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Farmington, NM
NPI number
1104990050
Active
Practice location
2300 E 30th St Bldg A
Farmington, NM 87401-8991
Fax (505) 564-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 6701 (NM) |
Ambulatory Surgical Clinic/Center: Definition to come...
5 other providers at this address
- Four Corners Anesthesia, P.a.Anesthesiology Physician Farmington, NM NPI 1093758831
- Amylia Ashley Black, CRNACertified Registered Nurse Anesthetist Farmington, NM NPI 1881947372
- Bob Montoya, CST SFASurgical Technologist Farmington, NM NPI 1174665137
- David P. Goldstein, MDAnesthesiology Physician Farmington, NM NPI 1255301263
- Jana Grossheim, CRNACertified Registered Nurse Anesthetist Farmington, NM NPI 1518999853
About NPI 1104990050
Four Corners Ambulatory Surgery Center, LLC's National Provider Identifier is 1104990050, issued on Nov 20, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Farmington, NM. The record was last updated on Apr 8, 2010.