FOUR CORNERS AMBULATORY SURGERY CENTER, LLC
NPI 1104990050
Clinic/Center - Ambulatory Surgical in Farmington, NM

NPI Status: Active since November 20, 2006

Contact Information

2300 E 30TH ST BLDG A
FARMINGTON, NM
ZIP 87401
Phone: (505) 564-2300
Fax: (505) 564-2210

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 32D0946415
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-25-2027

About FOUR CORNERS AMBULATORY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Four Corners Ambulatory Surgery Center, Llc, a provider established in Farmington, New Mexico operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104990050 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 6701 (NM). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ms. Charles Redwing Facmpe (Executive Director)

NPI
1104990050
Provider Name
FOUR CORNERS AMBULATORY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2300 E 30TH ST BLDG A FARMINGTON, NM 87401
Location Phone
(505) 564-2300
Location Fax
(505) 564-2210
Mailing Address
2300 E 30TH ST BLDG A FARMINGTON, NM 87401
Mailing Phone
(505) 564-2300
Mailing Fax
(505) 564-2210
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2006
Last Update Date
04-08-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
6701
License State
NM

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CHARLES REDWING FACMPE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(505) 564-2300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300521001MEDICARE ID-TYPE UNSPECIFIED (04)NMMEDICARE PROVIDER NUMBER
S7971MEDICAID (05)NM 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 94 times for 75 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 17 times for 12 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 32 times for 20 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 25 times for 20 patients

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg

Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.

This service was performed 36,002 times for 87 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 24 times for 21 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 21 times for 20 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 794 times for 498 patients

Removal of deep implant from bone

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

This service was performed 14 times for 14 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 13 times for 13 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 14 times for 14 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

This service was performed 13 times for 13 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 27 times for 27 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 25 times for 23 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

This service was performed 23 times for 22 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 78 times for 74 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 18 times for 18 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D0946415
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
DR. BRENT M. FARNSWORTH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Four Corners Ambulatory Surgery Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104990050, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 9 + 0 + 0 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104990050.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

2300 E 30TH ST BLDG A
FARMINGTON, NM 87401
Anesthesiology
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401
Anesthesiology
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401
Nurse Anesthetist, Certified Registered
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401
Nurse Anesthetist, Certified Registered
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104990050, enumerated as an "organization" on November 20, 2006.

The provider is located at 2300 E 30TH ST BLDG A FARMINGTON, NM 87401 and the phone number is (505) 564-2300.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.