Provider Demographics
NPI:1265453054
Name:CORNERSTONE CARE, INC.
Entity Type:Organization
Organization Name:CORNERSTONE CARE, INC.
Other - Org Name:VALLEY WOMEN'S HEALTH OF CORNERSTONE CARE, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:R
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-258-2229
Mailing Address - Street 1:1163 COUNTRY CLUB RD
Mailing Address - Street 2:LOMBARDI CENTER STE. 101
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-1013
Mailing Address - Country:US
Mailing Address - Phone:724-258-2229
Mailing Address - Fax:724-258-7641
Practice Address - Street 1:1163 COUNTRY CLUB RD
Practice Address - Street 2:LOMBARDI CENTER STE. 101
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1013
Practice Address - Country:US
Practice Address - Phone:724-258-2229
Practice Address - Fax:724-258-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391952OtherCMS-UGS
PA1007854OtherGATEWAY
PA179501OtherUNISON
PA1007725570017Medicaid
PA1007725570017Medicaid