Provider Demographics
NPI:1790800571
Name:CORNERSTONE HEALTH CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE LLC
Other - Org Name:CORNERSTONE FOOT & ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS SERVICES 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 DR
Mailing Address - Street 2:STE 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 300
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7369
Practice Address - Country:US
Practice Address - Phone:336-802-2055
Practice Address - Fax:336-802-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC012MEOtherBCBS
269374OtherMAMSI
NCCC4241OtherRR MEDICARE
NC1212660024OtherDME
NCD266OtherPARTNERS MEDICARE CHOICE
NC89012MEMedicaid
50139OtherMEDCOST
7159778OtherAETNA
NCCC4243OtherRR MEDICARE
NCCB8658OtherRR MEDICARE
NCCD6614OtherRR MEDICARE
NCCB8658OtherRR MEDICARE
=========045OtherTRICARE
NC1212660024Medicare NSC