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Contact Information

CROSSROADS MEDICAL CORPORATION
403 W 81ST AVE
MERRILLVILLE, IN46410-5317
 Phone: 219-756-6600
 Fax: 219-756-6602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CROSSROADS MEDICAL CORPORATION

NPI # 1801123583
LBN Legal business name CROSSROADS MEDICAL CORPORATION
Authorized official MARTINE BERGERON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2009
Last updated 11/17/2009 - About 17 years ago
Identifiers n/a
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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