Organization
CORNERSTONE CARE, INC
Active
Parent organization
CORNERSTONE CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE CARE, INC
Authorized official
MR. ROBERT MTJOY CEO (CEO)
(724) 943-3308
Entity
Organization
Contact information
Practice address
140 N BEESON AVE, UNIONTOWN, PA 15401-2937
(724) 439-1628
(724) 439-0171
Mailing address
140 N BEESON AVE, UNIONTOWN, PA 15401-2937
(724) 439-1628
(724) 439-0171
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772557-0022
—
PA
01
—
1302933
GATEWAY
—
01
—
2504615
HIGHMARK
—
01
—
304459
AETNA
—
01
—
72344
UNISON
—
Enumeration date
02/04/2011
Last updated
03/11/2011
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