CORNERSTONE FAMILY HEALTHCARE – NPI #1689669079
Clinic/Center

CORNERSTONE FAMILY HEALTHCARE is an AHC clinic located in NEWBURGH, NY. NPPES has assigned the NPI number 1689669079 to CORNERSTONE FAMILY HEALTHCARE on September 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Jan 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNERSTONE FAMILY HEALTHCARE below.

NPI Profile for
CORNERSTONE FAMILY HEALTHCARE

NPI Number
1689669079
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNERSTONE FAMILY HEALTHCARE
Former Legal Business Name: THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC.
Primary location
147 LAKE STREET
NEWBURGH, NY 12550-5242
Phone: (845) 563-8000 Fax: (845) 563-8093
Mailing address
2570 ROUTE 9W
SUITE 10
CORNWALL, NY 12518-1323
Phone: (845) 220-3100 Fax: (845) 534-2940
Organization Subpart
No
Authorized Official
DAVID JOLLY
CEO
Phone: (845) 220-3165
Updated
Certification Date
Jan 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CORNERSTONE FAMILY HEALTHCARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE IDNYWCW271
otherMEDICARE IDNY331832
medicaidNY00472931
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
332S00000X
- Hearing Aid Equipment
NY 000425

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.