| Cornerstone Family Healthcare | |
|
24 Quail Drive Suite A Pryor OK 74361-2150 | |
| (918) 302-1905 | |
| Not Available |
| Full Name | Cornerstone Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Quail Drive, Pryor, Oklahoma |
| Authorized Official Name and Position | Rachel Joann Kersker (OWNER/PROVIDER) |
| Authorized Official Contact | 9185309859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Healthcare 265 E 460 Pryor OK 74361-2150 Ph: (918) 530-9859 | Cornerstone Family Healthcare 24 Quail Drive Suite A Pryor OK 74361-2150 Ph: (918) 302-1905 |
| NPI Number | 1932989662 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 9739535071 |
|---|---|
| Medicare Enrollment ID | O20231024000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932989662 | NPI | - | NPPES |
| 1003439258 | Other | OK | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rachel Joann Kersker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439258 PECOS PAC ID: 5294152088 Enrollment ID: I20200825001523 |
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