Provider Demographics
NPI:1851871735
Name:CORNERSTONE NONPROFIT HEALTHCARE
Entity Type:Organization
Organization Name:CORNERSTONE NONPROFIT HEALTHCARE
Other - Org Name:CORNERSTONE NONPROFIT HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER-FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:402-382-9492
Mailing Address - Street 1:21426 MCCLELLAN CIR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-6910
Mailing Address - Country:US
Mailing Address - Phone:402-382-9492
Mailing Address - Fax:319-320-1120
Practice Address - Street 1:1313 N 48TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-1612
Practice Address - Country:US
Practice Address - Phone:402-382-9492
Practice Address - Fax:319-320-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty