Cornerstone Family Health Care, LLC
Organization Active NPI Family Nurse Practitioner · Salyersville, KY
NPI 1013304344 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1013304344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3004848 (KY)
- Legal business name
- CORNERSTONE FAMILY HEALTH CARE, LLC
- Practice address
- RT 30 Middlefork Box 535
Salyersville, KY 41465-0535 - Phone
- (606) 349-7710
- Fax
- (606) 349-7720
- NPI assigned
- Apr 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Sarah Ann Patrick, ARNP
- Title
- Owner/Practitioner
- Phone
- (606) 349-7710
Practitioners 1
-
Sarah Ann Patrick, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150818005818 | KY | Part B Supplier - Clinic/Group Practice | 0143535203 |
Receives reassigned benefits from 1 practitioner Practice locations: Salyersville, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 3004848 | KY | Yes |
Addresses
Primary practice location
RT 30 Middlefork Box 535
Salyersville, KY 41465-0535
Mailing address
RT 30 Middlefork Box 535
Salyersville, KY 41465-0535
Phone (606) 349-7710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100397750 | Medicaid | KY |
Other providers in Salyersville, KY
- Charles E. Hardin, Jr. M.D.
- Lisa Cheek
- Dana Collett
- Shannon S Conley
- Connelley and Higgins DMD
- Kimberly Crawford
- Robert Crum
- DHP Incorporated
- Helen Renee Doan
- Kerri Dues
All providers in Salyersville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.