Provider Demographics
NPI:1629025788
Name:CORNERSTONE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE, LLC
Other - Org Name:PIEDMONT INTERNAL MEDICINE
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:336-802-2536
Mailing Address - Street 1:1701 WESTCHSTER 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 1:711 NATIONAL HWY
Practice Address - Street 2:SUITE 500
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2633
Practice Address - Country:US
Practice Address - Phone:336-474-1995
Practice Address - Fax:336-474-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCC5472OtherRR MEDICARE
NCCC6608OtherRR MEDICARE
269374OtherMAMSI
NCCC4243OtherRR MEDICARE
7485722OtherAETNA
NCCD6614OtherRR MEDICARE
NCD266OtherPARTNERS MEDICARE CHOICE
NC02665OtherBCBS
NCCB8658OtherRRMC
NC7902665Medicaid
890047OtherMEDCOST
NCCC4241OtherRR MEDICARE
NCCC4242OtherRR MEDICARE
NCCF9200OtherRR MEDICARE
NC7902665Medicaid
7485722OtherAETNA
NCCC4241OtherRR MEDICARE