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CROSSROADS INTEGRATED CARE OSBORN NPI 1649818501


NPI Information

NPI: 1649818501
Provider Name: CROSSROADS INTEGRATED CARE OSBORN

Doing Business As: CROSSROADS 360 COMMUNITY CARE CLINIC-OSBORN

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2002 E OSBORN RD STE A
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-5242
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CROSSROADS INTEGRATED CARE OSBORN is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CROSSROADS INTEGRATED CARE OSBORN NPI is 1649818501. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads 360 Community Care Clinic-osborn.

The provider's business location address is:

2002 E OSBORN RD STE A
PHOENIX, AZ
ZIP 85016-236
Phone: (602) 263-5242
Fax: (602) 595-4434

The provider's authorized official is Chris Riley .
The authorized official title is Chief Compliance Officer and has the following contact phone number (602) 263-5242.

The enumeration date for this NPI number is 12/11/2019 and was last updated on 4/3/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.