National Provider Identifier Database

CROSSROADS URGENT CARE PLLC
Rural Health


Contact Information

CROSSROADS URGENT CARE PLLC
455 CHICKAMAUGA DR STE 104
DAYTON, TN37321-4286
Phone: 423-570-0252
Fax: 423-570-0256
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X
Primary Care 261QP2300X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for CROSSROADS URGENT CARE PLLC

NPI Number 1326771023
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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