JATEIYA CROSS NPI 1164172623

NPI Information

  • NPI: 1164172623
  • Provider Name: JATEIYA CROSS
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 175 PHILPOTT LN
    BEAVER, WV
    ZIP 25813
  • Phone: (304) 254-9262

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NPI Details

Jateiya Cross is a health service clinic center in Beaver, WV. Jateiya Cross NPI is 1164172623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 PHILPOTT LN
BEAVER, WV
ZIP 25813-501
Phone: (304) 254-9262

The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.

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
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y8Z4D8E7OTHERWEST VIRGINIAMA

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: 11/21/2025

NPI Synchronization or Removal

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