Active NPI
Cornerstone Care Inc
- Federally Qualified Health Center (FQHC)
- Washington, PA
National Provider Identifier
1104769181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CORNERSTONE CARE INC
- Practice address
- 351 W Beau St Ste 301
Washington, PA 15301-4663 - Phone
- (724) 228-7400
- NPI assigned
- Apr 13, 2026
- Organization subpart
- Yes
- Parent organization
- CORNERSTONE CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Bonalewicz
- Title
- Credentialing Specialist
- Phone
- (724) 201-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
351 W Beau St Ste 301
Washington, PA 15301-4663
Mailing address
PO Box 74448
Cleveland, OH 44194-0548
Phone (724) 943-3308
Other names 1
- Community Dental and Vision Center of Washington
National Provider Directory
National Provider Directory- Tax ID family
- S E Greene HC Bobtown
- Part of
- S E Greene HC Bobtown
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1104769181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74448",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940548",
"telephone_number": "724-943-3308",
"fax_number": "724-943-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 W BEAU ST STE 301",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153014663",
"telephone_number": "724-228-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORNERSTONE CARE INC",
"enumeration_date": "2026-04-13",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "BONALEWICZ",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "724-201-8330"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Dental and Vision Center of Washington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.