CORNERSTONE CARE INC. (NPI# 1124379680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124379680 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE CARE INC. |
| Other Organization Name | CORNERSTONE CARE/DENTAL |
| Practice Address |
120 Locust Ave Ext Mount Morris PA 15349-1355 |
| Practice Telephone | 7243249001 |
| Practice Fax Number | 7243249005 |
| Mailing Telephone | 7243249001 |
| Mailing Fax Number | 7243249005 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MR. ROBERT MTJOY (CEO) |
| Authorized Official Telephone | 7249433308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007725570024 | 05 |
| Other Name | Type Code |
|---|---|
| Cornerstone Care/Dental | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194029819 | Cornerstone Care Inc. | Clinic/Center | 120 Locust Avenue Extension, Mount Morris, PA 15349 | 2011-01-10 |
| 1063970671 | Cornerstone Care Inc. | Clinic/Center | 559 Miller Ave, Clairton, PA 15025-1746 | 2019-03-04 |
| 1952811242 | Cornerstone Care Inc. | Clinic/Center | 236 Elm Dr, Waynesburg, PA 15370-8265 | 2017-10-02 |
| 1689925141 | Cornerstone Care Inc. | Clinic/Center | 1227 Smith Township State Rd, Burgettstown, PA 15021-2828 | 2012-09-25 |
| 1215288774 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-09-25 |
| 1033460597 | Cornerstone Care Inc. | Clinic/Center | 501 W High St, Waynesburg, PA 15370-7209 | 2012-09-25 |
| 1942551403 | Cornerstone Care Inc. | Clinic/Center | 140 N Beeson Ave, Suite 400, Uniontown, PA 15401-2937 | 2012-09-25 |
| 1407139439 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2011-09-26 |
| 1770548380 | Cornerstone Care Inc. | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2006-04-18 |
| Street Address |
120 LOCUST AVE EXT |
| City | MOUNT MORRIS |
| State | PA |
| Zip Code | 15349-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710185 | Nyeemah Kennedy | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-28 |
| 1043839418 | Karim Ibrahim | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-15 |
| 1639708936 | Betty Rachel Thomas | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-07 |
| 1922637388 | Rody Barakat | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-06 |
| 1215499900 | Narissa Puran | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2019-04-02 |
| 1831651835 | John Evan Allison | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2019-04-01 |
| 1972064657 | Matthew Austin Heselton | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2019-03-26 |
| 1841785961 | Maram Hakoum | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2018-07-01 |
| 1386137966 | Tara Lynn Braithwaite | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2018-06-08 |
| 1215420013 | Shannon Lynn Chatham | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194029819 | Cornerstone Care Inc. | Clinic/Center | 120 Locust Avenue Extension, Mount Morris, PA 15349 | 2011-01-10 |
| 1376674218 | R. Gregory Montgomery | Dentist | 120 Locust Avenue Extention, Mount Morris, PA 15349 | 2007-03-09 |
| 1720145428 | Bonnie L Popso | Social Worker | 105 Front Street, Mt Morris, PA 15349 | 2007-01-02 |
| 1972575454 | Norihito Onishi | Family Medicine | 186 Locust Ave, Mt Morris, PA 15349 | 2006-02-07 |
| 1073509147 | Mount Morris Ems | Ambulance | Main St, American Legion Hall, Mt Morris, PA 15349 | 2005-09-23 |
| 1356629802 | Trisha Mary Petitte | Nurse Practitioner | 104 Front Street, Mount Morris, PA 15349 | 2011-08-02 |
| 1497075816 | Cornerstone Care/mobile Unit | Clinic/Center | 104 Front Street, Suite Van One, Mt. Morris, PA 15349 | 2010-06-08 |
| 1619288032 | Melany D Chrash | Nurse Practitioner | 104 Front St., Mt. Morris, PA 15349-0495 | 2010-06-30 |
| 1437277373 | Primary Care Center of Mt Morris | Nurse Practitioner | 104 Front Street, Suite 102, Mount Morris, PA 15349-0495 | 2007-03-27 |
| 1134440159 | Cornerstone Care, Inc. | Clinic/Center | 104 Front Street, Van # 1, Mount Morris, PA 15349-0495 | 2010-06-14 |
| Find all providers in zip 15349 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194029819 | Cornerstone Care Inc. | Clinic/Center | 120 Locust Avenue Extension, Mount Morris, PA 15349 | 2011-01-10 |
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| Find all providers with the same taxonomy | ||||
| City | MOUNT MORRIS |
| Zip Code | 15349 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.