CROSSROADS URGENT CARE PLLC; NPI #1750014452

Contact Information

CROSSROADS URGENT CARE PLLC

2395 LAKE RD
DYERSBURG, TN 38024-1831

Phone: 731-882-1958
Fax: 615-301-6550
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Physician Assistant	363A00000X	97	Physician Assistant
Primary Care	261QP2300X
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for CROSSROADS URGENT CARE PLLC

NPI Number	`1750014452`
LBN Legal business name	CROSSROADS URGENT CARE PLLC
Authorized official	JOHN REEL - (CONTROLLER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/08/2022
Last updated	12/01/2022 - About 4 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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