# CORNERSTONE HEALTH CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mothershed, Mothershed, Arne and Cates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619003654
- **Authorized official:** GRACE E TERRELL (PRESIDENT / CEO)
- **Authorized official phone:** (336) 802-2400

## Contact information

- **Practice address:** 3057 TRENWEST DR, WINSTON SALEM, NC 27103-3220
- **Practice address phone:** (336) 765-0710
- **Practice address fax:** (336) 765-0821
- **Mailing address:** 1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
- **Mailing address phone:** (336) 802-2536
- **Mailing address fax:** (336) 802-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 11/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0007221327 | AETNA | NC |
| 01 | — | 018N7 | BCBS | NC |
| 01 | — | 128771 | MEDCOST | NC |
| 05 | — | 5905367 | — | NC |
| 05 | — | 5911374 | — | NC |
| 01 | — | CB8658 | RR MEDICARE | NC |
| 01 | — | CC4241 | RR MEDICARE | NC |
| 01 | — | CC4242 | RR MEDICARE | NC |
| 01 | — | CC4243 | RR MEDICARE | NC |
| 01 | — | CC5472 | RR MEDICARE | NC |
| 01 | — | CC6608 | RR MEDICARE | NC |
| 01 | — | CD6614 | RR MEDICARE | NC |
| 01 | — | CF9200 | RR MEDICARE | NC |
| 01 | — | D266 | PARTNERS | NC |