CROSS TRAILS MEDICAL CENTER NPI 1033895628

NPI Information

NPI: 1033895628
Provider Name: CROSS TRAILS MEDICAL CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2430 GOLDEN STREET
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 339-1196
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CROSS TRAILS MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Cape Girardeau, MO. CROSS TRAILS MEDICAL CENTER NPI is 1033895628. The provider is registered as an organization entity type.

The provider's business location address is:

2430 GOLDEN STREET
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 339-1196
Fax: (573) 339-9378

The provider's authorized official is Sheila Pruitt .
The authorized official title is Billing Coordinator and has the following contact phone number (573) 332-0808.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 6/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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