Provider Demographics
NPI:1851416671
Name:CORNERSTONE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE, LLC
Other - Org Name:EMERYWOOD MEDICAL SPECIALTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS SERVICES OPERATION 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 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7804
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:810 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3902
Practice Address - Country:US
Practice Address - Phone:336-802-2060
Practice Address - Fax:336-802-2061
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
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCC4241OtherRR MEDICARE
NCD266OtherPARTNERS MEDICARE CHOICE
NCCC4243OtherRR MEDICARE
NCCC5472OtherRR MEDICARE
NC890246NMedicaid
NCCF9200OtherRR MEDICARE
NC1212660005OtherDME
30074OtherMEDCOST
NCCD6614OtherRR MEDICARE
NC0246NOtherBCBS
7310733OtherAETNA
NCCC4242OtherRR MEDICARE
NCCB8658OtherRRMC
NCCC6608OtherRR MEDICARE
NCCF9200OtherRR MEDICARE
NCCF9200OtherRR MEDICARE
NCCC4243OtherRR MEDICARE