Organization
FOUR CORNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSAMA WALI (GENERAL MANAGER)
(520) 339-9726
Entity
Organization
Contact information
Practice address
1704 LLANO ST STE B, SANTA FE, NM 87505-5415
(520) 339-9276
Mailing address
5761 W PARK AVE, CHANDLER, AZ 85226-1241
(520) 339-9726
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5696496
—
NM
Enumeration date
07/12/2018
Last updated
07/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us