FOUR CORNERS AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Farmington, NM. FOUR CORNERS AMBULATORY SURGERY CENTER, LLC NPI is 1104990050. The provider is registered as an organization entity type.
The provider's business location address is:
2300 E 30TH ST BLDG A
FARMINGTON, NM
ZIP 87401-991
Phone: (505) 564-2300
Fax: (505) 564-2210
The provider's authorized official is Charles Redwing .
The authorized official title is Executive Director and has the following contact phone number (505) 564-2300.
The CLIA number assigned to this NPI record is 32D0946415 - ambulatory surgery center with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 11/20/2006 and was last updated on 4/8/2010.