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) 424-4129
Entity
Organization
Contact information
Practice address
2601 DUDLEY AVE, PARKERSBURG, WV 26101-2649
(304) 422-9156
(304) 422-9159
Mailing address
2601 DUDLEY AVE, PARKERSBURG, WV 26101-2649
(304) 422-9156
(304) 422-9159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01272
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010309000
—
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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