Provider Demographics
NPI:1629193032
Name:CORNERSTONE HEALTH CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE LLC
Other - Org Name:CORNERSTONE SURGICAL SPECIALISTS
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:336-802-2400
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 101
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7369
Practice Address - Country:US
Practice Address - Phone:336-802-2150
Practice Address - Fax:336-802-2151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1212660036OtherMEDICARE DME
NCCC4241OtherRR MEDICARE
NCCD6614OtherRR MEDICARE
NC1629193032Medicaid
NC7463718OtherAETNA
NCCC4243OtherRR MEDICARE
NCD266OtherPARTNERS
NC50010OtherMEDCOST
NCCB8658OtherRR MEDICARE
NC0246XOtherBCBS
NC890246XMedicaid
NCCC4243OtherRR MEDICARE
NC0246XOtherBCBS
NC=========015OtherTRICARE