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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