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FOUR CORNERS NEPHROLOGY ASSOCIATES PC
NPI 1144327172
Internal Medicine - Nephrology in Farmington, NM

Active since September 20, 2006CLIA 32D0702383 · Microscopy
622 W MAPLE ST STE H, FARMINGTON, NM 87401(505) 326-6521(505) 325-6699 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Four Corners Nephrology Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR CORNERS NEPHROLOGY ASSOCIATES PC (NPI 1144327172) is a healthcare organization registered as a nephrology in Farmington, New Mexico and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Billie Stolworthy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144327172
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFOUR CORNERS NEPHROLOGY ASSOCIATES PC
Location Address622 W MAPLE ST STE HFarmington, NM 87401-6589
Mailing Address622 W Maple St Ste HFarmington, NM 87401-6589 · (505) 326-6521 · Fax (505) 325-6699
Phone(505) 326-6521
Fax(505) 325-6699
Organization SubpartNo
Authorized OfficialBillie StolworthyOffice Manager · (505) 326-6521
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 1, 2011
✔ NPI 1144327172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
622 W MAPLE ST STE H, Farmington, NM 87401
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Other Identifiers 7

Medicaid311843AZ
Medicare PINCQ3030AZ
Medicaid94004736CO
Medicaid=========06UT
Medicare PINCQ3030NM
MedicaidF3805NM
Medicare PINZ23289AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0702383

Four Corners Neprology Assoc · Farmington, NM
Active · expires Aug 31, 2026
CLIA Number32D0702383
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark F. Bevan MD
Laboratory Phone(505) 326-6521
Laboratory LocationFour Corners Neprology Assoc812 W Maple, Farmington, NM 87401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEIL COLLINGE M.D.
Internal Medicine (Nephrology)
622 W MAPLE ST STE H
FARMINGTON, NM 87401
San Juan County (505) 326-6521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Corners Nephrology Associates PC's NPI number?

The NPI number for Four Corners Nephrology Associates PC is 1144327172. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Four Corners Nephrology Associates PC located?

Four Corners Nephrology Associates PC is located at 622 W Maple St Ste H, Farmington, NM 87401. The listed phone number is (505) 326-6521.

What is Four Corners Nephrology Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Four Corners Nephrology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0702383) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Four Corners Nephrology Associates PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Four Corners Nephrology Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Four Corners Nephrology Associates PC was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.