FOUR CORNERS LLC
NPI 1700362738
Driver in Santa Fe, NM

Q: What is Four Corners LLC's NPI number?

The NPI number for Four Corners LLC is 1700362738. It was assigned to this organization in the NPPES registry on July 12, 2018.

Q: What is Four Corners LLC's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Four Corners LLC was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2018

1704 LLANO ST STE B, SANTA FE, NM 87505(520) 339-9276 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Four Corners Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR CORNERS LLC (NPI 1700362738) is a healthcare organization registered as a driver in Santa Fe, New Mexico and active in the NPI registry since July 2018. The organization lists Osama Wali, General Manager, as its authorized official.

NPPES Registry Identity

NPI1700362738

Entity TypeOrganization

Primary Taxonomy172A00000X

Legal Business NameFOUR CORNERS LLC

Location Address1704 LLANO ST STE BSanta Fe, NM 87505-5415

Mailing Address5761 W Park AveChandler, AZ 85226-1241 · (520) 339-9726

Phone(520) 339-9276

Organization SubpartNo

Authorized OfficialOsama WaliGeneral Manager · (520) 339-9726

Enumeration DateJuly 12, 2018

✔ NPI 1700362738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

1704 LLANO ST STE B, Santa Fe, NM 87505

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Other Identifiers 1

Medicaid5696496NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMY MICHELLE POTTER M.D.

Family Medicine

1704 LLANO ST STE B, ST B
SANTA FE, NM 87505

Santa Fe County (505) 401-6383

PRECIOUS MARIE MOYA-MIER

Behavior Technician

1704 LLANO ST STE B
SANTA FE, NM 87505

Santa Fe County (562) 412-0080

ANNA HARLAND LPCC

Counselor (Professional)

1704 LLANO ST STE B
SANTA FE, NM 87505

Santa Fe County (505) 919-9933

TELE-PEDS LLC

Pediatrics

1704 LLANO ST STE B
SANTA FE, NM 87505

Santa Fe County (757) 667-8898

MS. MELANIE COPELAND LCSW

Social Worker (Clinical)

1704 LLANO ST STE B
SANTA FE, NM 87505

Santa Fe County (505) 424-0726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Corners LLC's NPI number?

The NPI number for Four Corners LLC is 1700362738. It was assigned to this organization in the NPPES registry on July 12, 2018.

Where is Four Corners LLC located?

Four Corners LLC is located at 1704 Llano St Ste B, Santa Fe, NM 87505. The listed phone number is (520) 339-9276.

What is Four Corners LLC's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Four Corners LLC was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.