CROSSROADS TREATMENT CENTER OF SOMERSET PSC NPI 1417452798

NPI Information

NPI: 1417452798
Provider Name: CROSSROADS TREATMENT CENTER OF SOMERSET, PSC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 18D2138653

Address:
607 CLIFTY ST
SOMERSET, KY
ZIP 42503
Phone: (606) 485-4730
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CROSSROADS TREATMENT CENTER OF SOMERSET, PSC is a rehabilitation and substance use disorder clinic center in Somerset, KY. CROSSROADS TREATMENT CENTER OF SOMERSET, PSC NPI is 1417452798. The provider is registered as an organization entity type.

The provider's business location address is:

607 CLIFTY ST
SOMERSET, KY
ZIP 42503-765
Phone: (606) 485-4730
Fax: (606) 485-4733

The provider's authorized official is Rupert James Mccormac .
The authorized official title is President and has the following contact phone number (864) 527-3145.

The CLIA number assigned to this NPI record is 18D2138653 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 5/2/2018.

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	261QM2800X	Clinic/Center	Methadone	KENTUCKY	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		Yes
3	251S00000X	Community/Behavioral Health		KENTUCKY	No

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: 11/14/2023

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