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Organization
CORNERSTONE HEALTH CARE INC.
Active
Organization
CORNERSTONE HEALTH CARE INC.
Active
Parent organization
CORNERSTONE HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE HEALTH CARE
Authorized official
VICKI L LYONS (OFFICE MANAGER)
(304) 424-4219
Entity
Organization
Contact information
Practice address
201 LAFAYETTE ST, SAINT MARYS, WV 26170-1027
(304) 684-2267
(304) 684-2532
Mailing address
201 LAFAYETTE ST, SAINT MARYS, WV 26170-1027
(304) 684-2267
(304) 684-2532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01272
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010309001
—
WV
01
—
001710672
BLUE CROSS BLUE SHIELD
—
05
—
2002102
—
OH
01
—
CD5906
RAILROAD MEDICARE GROUP NUMBER
—
Enumeration date
01/09/2007
Last updated
04/29/2008
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