Organization · Type 2 NPI

Cornerstone Health Care PA

Non-Pharmacy Dispensing Site · Summerfield, NC

NPI number 1063805281 Active

Practice location

4431 US Highway 220 N
Summerfield, NC 27358-9411

Call (336) 643-7711 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	29729 (NC)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

8 other providers at this address

NPI record

NPI: 1063805281
Entity type: Organization (Type 2)
Issued: Mar 12, 2015
Last updated: Mar 12, 2015
Status: Active
Subpart: Yes of Medvantx, Inc

Other names

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Cornerstone Family Practice at Summerfield · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063805281

Cornerstone Health Care PA's National Provider Identifier is 1063805281, issued on Mar 12, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Summerfield, NC. The record was last updated on Mar 12, 2015.