| Cornerstone Clinic, Llc | |
|
631 E Crawford St Ste 209 Salina KS 67401-5116 | |
| (785) 452-2034 | |
| (785) 404-6365 |
| Full Name | Cornerstone Clinic, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 631 E Crawford St Ste 209, Salina, Kansas |
| Authorized Official Name and Position | Jenna Krehbiel (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 7854522034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Clinic, Llc 631 E Crawford St Ste 209 Salina KS 67401-5116 Ph: (785) 452-2034 | Cornerstone Clinic, Llc 631 E Crawford St Ste 209 Salina KS 67401-5116 Ph: (785) 452-2034 |
| NPI Number | 1912434184 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 05/17/2017 |
| Medicare PECOS PAC ID | 6002149010 |
|---|---|
| Medicare Enrollment ID | O20190606001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912434184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4044 (Kansas) | Primary |
| Provider Name | Jenna B Krehbiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407055635 PECOS PAC ID: 3375728165 Enrollment ID: I20110420000567 |
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