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Contact Information

CORNERSTONE HEALTH CARE OF BOLIVAR, INC.
214 N WATER ST
BOLIVAR, TN38008-2341
 Phone: 731-658-5287
 Fax: 731-658-6359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CORNERSTONE HEALTH CARE OF BOLIVAR, INC.

NPI Number 1821076373
LBN Legal business name CORNERSTONE HEALTH CARE OF BOLIVAR, INC.
Authorized official CYNTHIA MILENSKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2006
Last updated 04/16/2010 - About 16 years ago
Identifiers
TN License # 116
TN Medicaid 0445352
TN Other 7440562 ICF MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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