CROSSROADS TREATMENT CENTER OF ASHLAND PSC NPI 1346745718

NPI Information

NPI: 1346745718
Provider Name: CROSSROADS TREATMENT CENTER OF ASHLAND, PSC

Doing Business As: CROSSROADS TREATMENT CENTER OF ASHLAND

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1220 GREENUP AVE
ASHLAND, KY
ZIP 41101
Phone: (606) 393-1165
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CROSSROADS TREATMENT CENTER OF ASHLAND, PSC is a rehabilitation and substance use disorder clinic center in Ashland, KY. CROSSROADS TREATMENT CENTER OF ASHLAND, PSC NPI is 1346745718. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Treatment Center Of Ashland.

The provider's business location address is:

1220 GREENUP AVE
ASHLAND, KY
ZIP 41101-525
Phone: (606) 393-1165
Fax: (606) 393-1775

The provider's authorized official is Rupert James Mccormac .
The authorized official title is Ceo and has the following contact phone number (800) 805-6989.

The CLIA number assigned to this NPI record is 18D2136647 - other - methadone clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 6/8/2022.

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 State	Primary
1	251S00000X	Community/Behavioral Health		KENTUCKY	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		No
3	261QM1300X	Clinic/Center	Multi-Specialty		No
4	261QM2800X	Clinic/Center	Methadone	KENTUCKY	No
5	261QP2300X	Clinic/Center	Primary Care		No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	KENTUCKY	Yes

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
1	810586	OTHER	KENTUCKY	STATE LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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