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Four Corners Ambulatory Surgery Center, LLC

Ambulatory Surgical Clinic/Center in Farmington, NM · enumerated 2006 · authorized official Charles Redwing, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104990050

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Registry record

Entity type Organization (Type 2)
Legal business name Four Corners Ambulatory Surgery Center, LLC
Practice address 2300 E 30th St Bldg A, Farmington, NM, 87401
Phone (505) 564-2300
Fax (505) 564-2210
Enumeration date Nov 20, 2006
Last updated in NPPES Apr 8, 2010

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 6701 (NM) Primary

Authorized official

Name Charles Redwing
Title Executive Director
Phone (505) 564-2300

Other identifiers

Identifier Type State Issuer
S7971 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Four Corners Ambulatory Surgery Center, LLC located?
The practice location on file with NPPES is in Farmington, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-08.