Organization · Type 2 NPI

TRC - Four Corners Dialysis Clinics LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cortez, CO

NPI number 1184691909 Active

Practice location

610 E Main St, Ste C
Cortez, CO 81321

Call (970) 565-4302 Map

Fax (970) 565-4374

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	1212SP (CO)

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

NPI record

NPI: 1184691909
Entity type: Organization (Type 2)
Issued: Mar 1, 2006
Last updated: Mar 13, 2025
Status: Active

Other names

<unavail>
Cortez Dialysis Center · doing business as
Cortez Dialysis Center · 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 1184691909

TRC - Four Corners Dialysis Clinics LLC's National Provider Identifier is 1184691909, issued on Mar 1, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cortez, CO. The record was last updated on Mar 13, 2025.