Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four Corners Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104990050

Four Corners Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2300 E 30th St Bldg A
Farmington, NM 87401-8991
Phone: (505) 564-2300
Fax: (505) 564-2210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 6701 (NM)

Record details

NPI number1104990050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Redwing — Executive Director · (505) 564-2300
NPI enumeratedNovember 20, 2006
Last updated in NPPESApril 8, 2010
Mailing address2300 E 30th St Bldg A, Farmington, NM 87401-8991