Cornerstone Care/Mobile Unit

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CORNERSTONE CARE/MOBILE UNIT

Practice address

104 Front Street
Suite Van One
Mt. Morris, PA 15349

Phone

(724) 324-9006

Fax

(724) 324-9005

NPI assigned

Jun 8, 2010

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CORNERSTONE CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Mtjoy

Title

Ceo

Phone

(724) 943-3308

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

S E Greene HC Bobtown

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1497075816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "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": "104 FRONT STREET",
            "address_2": "SUITE VAN ONE",
            "city": "MT. MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "724-324-9006",
            "fax_number": "724-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CARE/MOBILE UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CARE, INC.",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "MTJOY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-943-3308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001975168-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melany D Chrash, CRNP-C
• Andrew Thomas Matthew Colebank, DO
• Cornerstone Care Inc. (Cornerstone Care Community Health Center of Mount Morris-Dental)
• Cornerstone Care Inc. (Cornerstone Care Community Health Center of Mount Morris-Medical)
• Cornerstone Care, Inc. (Cornerstone Care Community Pharmacy 001)
• Christopher Shaun Evans, DO
• Gerald Camden Furby III, DO
• Derek J Golna, D.O.
• Ashima Gupta
• Torrie Kay Headley, LPC

• Federally Qualified Health Center (FQHC) in Mount Morris, PA
• Providers in Mount Morris, PA by specialty
• Federally Qualified Health Center (FQHC) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.