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)

General Provider Information

NPI Number	:	1588554554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE CARE INC.

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

Provider Business Practice Location Address
First Line	:	151 RUTH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2384
Country	:	US
Telephone Number	:	412-431-3520
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	LORI BONALEWICZ
Credential	:
Telephone Number	:	724-201-8330

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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Directions to “CORNERSTONE CARE INC. ” Practice Location

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