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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

261QP2300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for CROSSROADS URGENT CARE PLLC

NPI Number 1306579008
LBN Legal business name CROSSROADS URGENT CARE PLLC
Authorized official STEPHANIE HICKS - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2022
Last updated 03/26/2025 - More than a year 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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