| Cornerstone Health Care Inc | |
|
2601 Dudley Ave Parkersburg WV 26101-2649 | |
| (304) 422-9156 | |
| (304) 422-9159 |
| Full Name | Cornerstone Health Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2601 Dudley Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Vicki L Lyons (OFFICE MANAGER) |
| Authorized Official Contact | 3044244129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Health Care Inc 2601 Dudley Ave Parkersburg WV 26101-2649 Ph: (304) 422-9156 | Cornerstone Health Care Inc 2601 Dudley Ave Parkersburg WV 26101-2649 Ph: (304) 422-9156 |
| NPI Number | 1790834018 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790834018 | NPI | - | NPPES |
| 2002102 | Medicaid | OH | |
| 001710672 | Other | BLUE CROSS BLUE SHIELD | |
| CD5906 | Other | RAILROAD MEDICARE GROUP NUMBER | |
| 0010309000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01272 (West Virginia) | Primary |
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