Organization
TRC - FOUR CORNERS DIALYSIS CLINICS LLC
Active
Other names
Kayenta Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
HIGHWAY 163 #217, KAYENTA, AZ 86033-9997
(928) 697-8182
(928) 697-8195
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472655
—
AZ
Enumeration date
04/21/2006
Last updated
03/02/2026
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