# FOUR CORNER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOUR CORNER HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316563992
- **Legal business name:** FOUR CORNER HEALTH
- **Authorized official:** DR. CASHMIR LUKE PHARMD/PH.D (PRESIDENT)
- **Authorized official phone:** (800) 666-5323

## Contact information

- **Practice address:** 1310 E OLIVE AVE, FRESNO, CA 93728-3610
- **Practice address phone:** (800) 666-5323
- **Mailing address:** PO BOX 690311, STOCKTON, CA 95269-0311
- **Mailing address phone:** (800) 666-5323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020