Provider Demographics
NPI:1316382559
Name:CORNERSTONE HEALTH CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE LLC
Other - Org Name:FORD, SIMPSON, LIVELY AND RICE PEDIATRICS @ KVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-802-2347
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:110 HARMON LN
Practice Address - Street 2:SUITE A
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3472
Practice Address - Country:US
Practice Address - Phone:336-992-3414
Practice Address - Fax:336-992-3467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty