Provider Demographics
NPI:1558493825
Name:CORNERSTONE HEALTH CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE LLC
Other - Org Name:CORNERSTONE PEDIATRICS
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 DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:1814 WESTCHESTER DRIVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3832
Practice Address - Country:US
Practice Address - Phone:336-802-2100
Practice Address - Fax:336-802-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCB8658OtherRR MEDICARE
NC50158OtherMEDCOST
NCD266OtherPARTNERS
NC7612153OtherAETNA
NC0246YOtherBCBS
NCCD6614OtherRR MEDICARE
NC890246YMedicaid
NCCC4241OtherRR MEDICARE
NCCC4243OtherRR MEDICARE
NCCC4243OtherRR MEDICARE
NC890246YMedicaid