| Cornerstone Medical Clinic | |
|
1420 Main St Sumner WA 98390-1810 | |
| (253) 987-5156 | |
| (253) 987-5462 |
| Full Name | Cornerstone Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1420 Main St, Sumner, Washington |
| Authorized Official Name and Position | Lorinda A Marceaux (MANAGER) |
| Authorized Official Contact | 2532413401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Clinic 1420 Main St Sumner WA 98390-1810 Ph: (253) 987-5156 | Cornerstone Medical Clinic 1420 Main St Sumner WA 98390-1810 Ph: (253) 987-5156 |
| NPI Number | 1235460676 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235460676 | NPI | - | NPPES |
| 98390A015 | Other | WA | TRICARE |
| 9869DA | Other | WA | REGENCE RIDER |
| 8232878 | Medicaid | WA | |
| 911203494BP | Other | WA | KPS |
| 0185591 | Other | WA | L & I |
| 5496722 | Other | WA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00036169 (Washington) | Primary |
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