CCN: 757594 NPI: 1083381776 Organization

Four Corners Health LLC

4274 N BLACKSTONE AVE
FRESNO, CA 937261900

Contact Information

Phone 8006665323
Fax 8446262020
Enumeration Date 2021-08-30
Last Updated 2024-11-27

Taxonomies

Code: 261QP2400X
Code: 251F00000X
Code: 314000000X
Code: 251G00000X
Code: 332BN1400X
Code: 251S00000X
Code: 385HR2050X
Code: 253Z00000X
Code: 261QH0100X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 23420

providerType 36

censusDivision 9

cbsaActualGeographicLocation 23420

providerType 36

censusDivision 9

cbsaActualGeographicLocation 23420

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23420

providerType 36

specialPaymentIndicator

carrierCode 01112

localityCode 56

cbsaActualGeographicLocation 23420

providerType 36

specialPaymentIndicator

carrierCode 01112

localityCode 56

cbsaActualGeographicLocation 23420

providerType 36

specialPaymentIndicator

carrierCode 01112

localityCode 56