MEDICARE: CORNERSTONE HEALTH CARE, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	CD6614	OTHER	NC	RR MEDICARE
5	CC4243	OTHER	NC	RR MEDICARE
6	CD8658	OTHER	NC	RR MEDICARE
8	CC4241	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B0216	OTHER	NC	MEDCOST
2	D266	OTHER	NC	PARTNERS
3	7765735	OTHER	NC	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	016FX	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1750406989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE HEALTH CARE, PA

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DRIVE
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7254
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	4515 PREMIER DRIVE
Second Line	:	SUITE 402
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2210
Fax Number	:	336-802-2211

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	GRACE E TERRELL
Credential	:
Telephone Number	:	336-802-2400

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	05/14/2014

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Directions to “CORNERSTONE HEALTH CARE, PA ” Practice Location

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