| Cornerstone Care/mobile Unit | |
|
104 Front Street Suite Van One Mt. Morris PA 15349 | |
| (724) 324-9006 | |
| (724) 324-9005 |
| Full Name | Cornerstone Care/mobile Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 104 Front Street, Mt. Morris, Pennsylvania |
| Authorized Official Name and Position | Robert Mtjoy (CEO) |
| Authorized Official Contact | 7249433308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Care/mobile Unit 7 Glassworks Rd Greensboro PA 15338-9507 Ph: (724) 943-3308 | Cornerstone Care/mobile Unit 104 Front Street Suite Van One Mt. Morris PA 15349 Ph: (724) 324-9006 |
| NPI Number | 1497075816 |
|---|---|
| Provider Enumeration Date | 06/08/2010 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497075816 | NPI | - | NPPES |
| 001975168-0003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |