| NPI | 1689804387 |
|---|---|
| Doing Business As | FOUR CORNERS REGIONAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FANNESSA COMER CEO 505-368-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 03D1068558) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |