| Cornerstone Health Community PC | |
|
7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 | |
| (720) 452-7420 | |
| (720) 446-4174 |
| Full Name | Cornerstone Health Community PC |
|---|---|
| Speciality | Family Medicine |
| Location | 7180 E Orchard Rd, Centennial, Colorado |
| Authorized Official Name and Position | Christopher Jon Mote (PRESIDENT) |
| Authorized Official Contact | 3037704227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Health Community PC 7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 Ph: (720) 452-7420 | Cornerstone Health Community PC 7180 E Orchard Rd Ste 306 Centennial CO 80111-1724 Ph: (720) 452-7420 |
| NPI Number | 1003273293 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 1052616430 |
|---|---|
| Medicare Enrollment ID | O20160223001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003273293 | NPI | - | NPPES |
| 475232 | Other | CO | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR0051449 (Colorado) | Primary |
| Provider Name | Christopher Jon Mote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812990 PECOS PAC ID: 7315193281 Enrollment ID: I20120808000540 |
| Provider Name | Kyla C Conway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548669054 PECOS PAC ID: 2961719596 Enrollment ID: I20170929001502 |
| Provider Name | Heather Smallwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609305630 PECOS PAC ID: 9133489149 Enrollment ID: I20180213002158 |
| Provider Name | Briana I Lance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265075006 PECOS PAC ID: 2668805425 Enrollment ID: I20191209002047 |
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