Provider Demographics
NPI:1821573098
Name:CORNERSTONE MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:CORNERSTONE MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:B
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FIACA
Authorized Official - Phone:623-218-6676
Mailing Address - Street 1:13291 W MCDOWELL RD STE E4
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2634
Mailing Address - Country:US
Mailing Address - Phone:623-218-6676
Mailing Address - Fax:623-266-2879
Practice Address - Street 1:13291 W MCDOWELL RD STE E4
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2634
Practice Address - Country:US
Practice Address - Phone:623-218-6676
Practice Address - Fax:623-266-2879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty