Provider Demographics
NPI:1316018070
Name:CORNERSTONE HEALTH SYSTEMS
Entity type:Organization
Organization Name:CORNERSTONE HEALTH SYSTEMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-796-7100
Mailing Address - Street 1:17 NORTH MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-1419
Mailing Address - Country:US
Mailing Address - Phone:931-796-7100
Mailing Address - Fax:931-796-1718
Practice Address - Street 1:17 NORTH MAPLE STREET
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-1419
Practice Address - Country:US
Practice Address - Phone:931-796-7100
Practice Address - Fax:931-796-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00626332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4436590OtherOTHER ID NUMBER
TN1452536Medicaid
4436590OtherOTHER ID NUMBER