| Cornerstone | |
|
807 Sw F Ave Lawton OK 73501-4506 | |
| (580) 595-7005 | |
| (580) 595-7005 |
| Full Name | Cornerstone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 Sw F Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Darrell E. Smith (PRESIDENT) |
| Authorized Official Contact | 5805957000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone 1408 Elder Duncan OK 73533-4022 Ph: (580) 595-7000 | Cornerstone 807 Sw F Ave Lawton OK 73501-4506 Ph: (580) 595-7005 |
| NPI Number | 1184786238 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 06/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184786238 | NPI | - | NPPES |
| 100747400B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100747400B (Oklahoma) | Primary |
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