Cornerstone Care/Mobile Unit
Organization Active NPI Federally Qualified Health Center (FQHC) · Mt. Morris, PA
NPI 1497075816 · NPPES record last updated Jun 8, 2010
Key facts
- NPI
- 1497075816
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- Yes
- Parent organization (as reported)
- CORNERSTONE CARE, INC.
Authorized official
- Name
- Mr. Robert Mtjoy
- Title
- Ceo
- Phone
- (724) 943-3308
National Provider Directory
- Part of
- S E Greene HC Bobtown
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
104 Front Street
Suite Van One
Mt. Morris, PA 15349
Mailing address
7 Glassworks Rd
Greensboro, PA 15338-9507
Phone (724) 943-3308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001975168-0003 | Medicaid | PA |
Other providers in Mt. Morris, PA
- Melany D Chrash
- Andrew Thomas Matthew Colebank
- Cornerstone Care Inc.
- Cornerstone Care Inc.
- Cornerstone Care, Inc.
- Christopher Shaun Evans
- Gerald Camden Furby III
- Derek J Golna
- Ashima Gupta
- Torrie Kay Headley
All providers in Mt. Morris, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.