| Cornerstone Health Community Pc | |
|
7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 | |
| (720) 452-7420 | |
| (720) 446-4174 |
| Full Name | Cornerstone Health Community Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7180 E Orchard Rd, Centennial, Colorado |
| Authorized Official Name and Position | Christopher Jon Mote (PRESIDENT) |
| Authorized Official Contact | 3037704227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Health Community Pc 7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 Ph: (720) 452-7420 | Cornerstone Health Community Pc 7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 Ph: (720) 452-7420 |
| NPI Number | 1003273293 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 1052616430 |
|---|---|
| Medicare Enrollment ID | O20160223001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003273293 | NPI | - | NPPES |
| 475232 | Other | CO | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR0051449 (Colorado) | Primary |
| Provider Name | Christopher Jon Mote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812990 PECOS PAC ID: 7315193281 Enrollment ID: I20120808000540 |
| Provider Name | Alexandria Pisano Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235847732 PECOS PAC ID: 7517336795 Enrollment ID: I20221209001674 |
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