Organization · Type 2 NPI
TRC - Four Corners Dialysis Clinics LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Polacca, AZ
NPI number
1700842432
Active
Practice location
Hwy 264, Mile Marker 388
Polacca, AZ 86042-0964
Fax (928) 605-4022
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...
Another provider at this address
About NPI 1700842432
TRC - Four Corners Dialysis Clinics LLC's National Provider Identifier is 1700842432, 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 Polacca, AZ. The record was last updated on Jun 3, 2026.