National Provider Identifier Database

CROSSROADS URGENT CARE PLLC
Rural Health


Contact Information

CROSSROADS URGENT CARE PLLC
1802 N JACKSON ST STE 850
TULLAHOMA, TN37388-8237
Phone: 931-563-5501
Fax: 931-563-5503
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X
Family Medicine 207Q00000X
Physician Assistant 363A00000X
Primary Care 261QP2300X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for CROSSROADS URGENT CARE PLLC

NPI Number 1306579008
Legal business name
LBN
CROSSROADS URGENT CARE PLLC
Authorized official STEPHANIE HICKS - (CONTROLLER)
Entity Organization
Organization subpart No
Enumeration date 07/08/2022
Last updated 03/26/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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