| Cornerstone Care/dental | |
|
120 Locust Ave Ext Mount Morris PA 15349-1355 | |
| (724) 324-9001 | |
| (724) 324-9005 |
| Full Name | Cornerstone Care/dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Locust Ave Ext, Mount Morris, Pennsylvania |
| Authorized Official Name and Position | Robert Mtjoy (CEO) |
| Authorized Official Contact | 7249433308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Care/dental 120 Locust Ave Ext Mount Morris PA 15349-1355 Ph: (724) 324-9001 | Cornerstone Care/dental 120 Locust Ave Ext Mount Morris PA 15349-1355 Ph: (724) 324-9001 |
| NPI Number | 1124379680 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124379680 | NPI | - | NPPES |
| 1007725570024 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Front Street, Van # 1, Mount Morris, PA 15349 Phone: 888-454-5064 Fax: 724-324-9005 | |
Cornerstone Care - Mt. Morris Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Locust Avenue Extension, Mount Morris, PA 15349 Phone: 724-324-9001 Fax: 724-324-9005 |