MEDICARE: CORNERSTONE CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033460597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE CARE INC.

Provider Business Mailing Address
First Line	:	7 GLASSWORKS RD # RE
Second Line	:
City	:	GREENSBORO
State	:	PA
Zip	:	15338-9507
Country	:	US
Telephone Number	:	724-943-3308
Fax Number	:	724-943-3310

Provider Business Practice Location Address
First Line	:	501 W HIGH ST
Second Line	:
City	:	WAYNESBURG
State	:	PA
Zip	:	15370-7209
Country	:	US
Telephone Number	:	724-852-1001
Fax Number	:	724-627-0726

Authorized Official
Title or Position	:	CEO
Name	:	MR. RICHARD RINEHART
Credential	:
Telephone Number	:	724-943-3308

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	03/12/2024

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