Cornerstone Care/mobile Unit | |
104 Front Street Suite Van One Mt. Morris PA 15349 | |
(724) 324-9006 | |
(724) 324-9005 |
Full Name | Cornerstone Care/mobile Unit |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 104 Front Street, Mt. 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 |
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Cornerstone Care/mobile Unit 7 Glassworks Rd Greensboro PA 15338-9507 Ph: (724) 943-3308 | Cornerstone Care/mobile Unit 104 Front Street Suite Van One Mt. Morris PA 15349 Ph: (724) 324-9006 |
NPI Number | 1497075816 |
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Provider Enumeration Date | 06/08/2010 |
Last Update Date | 06/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497075816 | NPI | - | NPPES |
001975168-0003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |