Provider Demographics
NPI:1821112038
Name:CORNERSTONE HEALTH CARE, PA
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE, PA
Other - Org Name:THE IMAGING CENTER - QUAKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF QI MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-802-2406
Mailing Address - Street 1:607 IDOL ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7804
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:624 QUAKER LN
Practice Address - Street 2:SUITE 104C
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3832
Practice Address - Country:US
Practice Address - Phone:336-802-2397
Practice Address - Fax:336-802-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCC5472OtherRRMC
NCCD6614OtherRRMC
NC23180OtherMEDCOST
NCCB8658OtherRRMC
NC0275QOtherBCBS
NCCC4241OtherRR MEDICARE
NC7262737OtherAETNA
NC271662OtherMAMSI
NC890275QMedicaid
NC022OtherTRICARE
NCCF9200OtherRRMC
NCD266OtherPARTNERS MEDICARE CHOICE
NCCC4243OtherRR MEDICARE
NCCF9200OtherRRMC