| Cornerstone Family Health, Pc | |
|
1205 Grampian Blvd Suite 3 Williamsport PA 17701-1978 | |
| (570) 326-4118 | |
| (570) 326-5533 |
| Full Name | Cornerstone Family Health, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 Grampian Blvd, Williamsport, Pennsylvania |
| Authorized Official Name and Position | James Redka (PRESIDENT) |
| Authorized Official Contact | 5703264118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Health, Pc 1205 Grampian Blvd Suite 3 Williamsport PA 17701-1978 Ph: (570) 326-4118 | Cornerstone Family Health, Pc 1205 Grampian Blvd Suite 3 Williamsport PA 17701-1978 Ph: (570) 326-4118 |
| NPI Number | 1376523449 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376523449 | NPI | - | NPPES |
| 020833 | Other | PA | AMERIHEALTH |
| 020833 | Other | PA | HIGHMARK BLUE SHIELD |
| 85252 | Other | PA | AETNA |
| 0006325900001 | Medicaid | PA | |
| 1002 | Other | PA | FIRST PRIORITY HEALTH |
| C74266 | Other | PA | PALMETTO/MC RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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