Cornerstone Family Medical Center

LBN: Decatur Family Medical Group Inc
Cornerstone Family Medical Center is an health care organization with primary practice located at 440 Sunset Ct Ste C , Mt Zion IL 62549-1556. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Decatur Family Medical Group Inc can be contacted via phone (217) 864-1236, or through Gregory, David Carl via phone (217) 422-3702.

Contact Information

Primary practice address
440 Sunset Ct Ste C Mt Zion IL 62549-1556
Phone: (217) 864-1236
Fax: (217) 864-1470
Website:
Map and Directions
Authorized official contact:
Name: Gregory, David Carl Doctor of Medicine (MD)
Phone: (217) 422-3702

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036103155 Illinois

Profile Details

NPI number 1619243987
LBN Legal business name Decatur Family Medical Group Inc
DBA Doing business as Cornerstone Family Medical Center
Authorized official Gregory, David Carl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619243987 NPPES
Other 1871599522 PROVIDER'S NPI

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