| Cornerstone Care - Mt. Morris | |
|
120 Locust Avenue Extension Mount Morris PA 15349 | |
| (724) 324-9001 | |
| (724) 324-9005 |
| Full Name | Cornerstone Care - Mt. Morris |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Locust Avenue Extension, Mount Morris, Pennsylvania |
| Authorized Official Name and Position | Robert Mtjoy (CEO) |
| Authorized Official Contact | 7249433308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Care - Mt. Morris 120 Locust Avenue Extension Mount Morris PA 15349 Ph: (724) 324-9001 | Cornerstone Care - Mt. Morris 120 Locust Avenue Extension Mount Morris PA 15349 Ph: (724) 324-9001 |
| NPI Number | 1194029819 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 08/16/2011 |
| Medicare PECOS PAC ID | 7911811583 |
|---|---|
| Medicare Enrollment ID | O20111209000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194029819 | NPI | - | NPPES |
| 100772557-0024 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cornerstone Care/dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Locust Ave Ext, Mount Morris, PA 15349 Phone: 724-324-9001 Fax: 724-324-9005 | |
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 |