CORNERSTONE HEALTH CARE PA NPI 1720103609

NPI Information

NPI: 1720103609
Provider Name: CORNERSTONE HEALTH CARE PA

Doing Business As: CORNERSTONE CONVENIENCE CARE CLINIC AT PREMIER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4515 PREMIER DRIVE
SUITE 201
HIGH POINT, NC
ZIP 27265
Phone: (336) 802-2222
Get Directions

CORNERSTONE HEALTH CARE PA is a family medicine in High Point, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CORNERSTONE HEALTH CARE PA NPI is 1720103609. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cornerstone Convenience Care Clinic At Premier.

The provider's business location address is:

4515 PREMIER DRIVE
SUITE 201
HIGH POINT, NC
ZIP 27265-350
Phone: (336) 802-2222
Fax: (336) 802-2351

The provider's authorized official is Grace E Terrell .
The authorized official title is President / Ceo and has the following contact phone number (336) 802-2400.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 11/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D266	OTHER	NORTH CAROLINA	PARTNERS
2	CC4241	OTHER	NORTH CAROLINA	RR MEDICARE
3	0281L	OTHER	NORTH CAROLINA	BCBS
4	25864	OTHER	NORTH CAROLINA	MEDCOST
5	2318873I	MEDICARE PIN	NORTH CAROLINA
6	7030772	OTHER	NORTH CAROLINA	AETNA
7	890281L	MEDICAID	NORTH CAROLINA
8	CB8658	OTHER	NORTH CAROLINA	RR MEDICARE
9	CC4243	OTHER	NORTH CAROLINA	RR MEDICARE
10	2318873	MEDICARE PIN	NORTH CAROLINA
11	=========004	OTHER	NORTH CAROLINA	TRICARE
12	CD6614	OTHER	NORTH CAROLINA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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