CORNERSTONE CARE/MOBILE UNIT (NPI# 1497075816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497075816 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE CARE/MOBILE UNIT |
| Practice Address |
104 Front Street Suite Van One Mt. Morris PA 15349 |
| Mailing Address |
7 Glassworks Rd Greensboro PA 15338-9507 |
| Practice Telephone | 7243249006 |
| Practice Fax Number | 7243249005 |
| Mailing Telephone | 7249433308 |
| Mailing Fax Number | 7249433310 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MR. ROBERT MTJOY (CEO) |
| Authorized Official Telephone | 7249433308 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNERSTONE CARE, INC. |
| 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 | 001975168-0003 | 05 |
| Street Address |
104 FRONT STREET SUITE VAN ONE |
| City | MT. MORRIS |
| State | PA |
| Zip Code | 15349 |
| 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 |
| 1457634099 | Jessica Ann-marie Holbrook | Physician Assistant | 120 Locust Ave Ext, Mt. Morris, PA 15349 | 2011-09-20 |
| 1619288032 | Melany D Chrash | Nurse Practitioner | 104 Front St., Mt. Morris, PA 15349-0495 | 2010-06-30 |
| 1225444532 | Mount Morris Pharmacy | Pharmacy | 120 Locust Ave Ext Ste 2, Mt Morris, PA 15349-1355 | 2014-07-08 |
| 1093034258 | Amber Renee Warren | Family Medicine | 120 Locust Ave Ext, Mt Morris, PA 15349-1355 | 2010-05-26 |
| 1831710185 | Nyeemah Kennedy | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-28 |
| 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... |
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| Find all providers with the same taxonomy | ||||
| City | MT. MORRIS |
| Zip Code | 15349 |
Please comment or provide details below to improve the information on CORNERSTONE CARE/MOBILE UNIT.
| 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.