Provider Demographics
NPI:1942333893
Name:CORNERSTONE HEALTH CARE, PA
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE, PA
Other - Org Name:CORNERSTONE CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-802-2440
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:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2401
Practice Address - Street 1:300 GATEWOOD AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4822
Practice Address - Country:US
Practice Address - Phone:336-802-2125
Practice Address - Fax:336-802-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCC4243OtherRR MEDICARE
NC01537OtherBCBS
NC25416OtherMEDCOST
NC8901537Medicaid
NCCB8658OtherRR MEDICARE
NCCC4241OtherRR MEDICARE
NC7122710OtherAETNA
NCCD6614OtherRR MEDICARE
NCCC4241OtherRR MEDICARE
NCCC4243OtherRR MEDICARE
NCCD6614OtherRR MEDICARE