CROSS CREEK URGENT CARE AND FAMILY CLINIC (NPI# 1174581235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174581235 |
| Entity Type | Organization |
| Organization Name | CROSS CREEK URGENT CARE AND FAMILY CLINIC |
| Practice Address |
726 Ramsey St Suite 8 Fayetteville NC 28301-4705 |
| Practice Telephone | 9102212200 |
| Practice Fax Number | 9102212201 |
| Mailing Telephone | 9102212200 |
| Mailing Fax Number | 9102212201 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GLENN MARTIN STANLEY SR. (PRESIDENT) |
| Authorized Official Telephone | 9102212200 |
| Authorized Official Credential | PA C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015KH | 05 |
| Street Address |
726 RAMSEY ST SUITE 8 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144681230 | Maria Rau | Social Worker | 726 Ramsey St, Fayetteville, NC 28301-4751 | 2016-03-16 |
| 1811258544 | Carolina Imaging LLC of Fayetteville | Radiology | 726 Ramsey St, Suite 10, Fayetteville, NC 28301-4751 | 2012-05-29 |
| 1518052521 | Barry Paul Avner | Physician Assistant | 726 Ramsey St, St. 8, Fayetteville, NC 28301-4705 | 2006-10-04 |
| 1851492623 | Maria Kenny | Nurse Practitioner | 726 Ramsey St, Suite 8, Fayetteville, NC 28301-4705 | 2006-09-26 |
| 1578674610 | Cross Creek Imaging LLC | Radiology | 726 Ramsey St, Suite 6, Fayetteville, NC 28301-4705 | 2006-08-31 |
| 1972556934 | American Optimal Health | Clinic/Center | 726 Ramsey St, Suite 3, Fayetteville, NC 28301-4705 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905032 | Collin Sheffield Black | Military Health Care Provider | 109 Mayfield Cir, Durham, NC 27705-6136 | 2020-02-25 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1578058194 | Dwain Gavin Mccall | Military Health Care Provider | C1722 Tagaytay Drive, Fort Bragg, NC 28310-5318 | 2018-06-26 |
| 1346747011 | Rachel Eden Leigh Palmer | Military Health Care Provider | 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 | 2018-04-10 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1720530355 | Robert Holly | Military Health Care Provider | 7606 Reilly Rd, Bldg 2, Fort Bragg, NC 28307 | 2016-10-31 |
| 1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
| 1326296641 | Scott Durham Mitcham | Military Health Care Provider | Command Drive, Building 328, Camp Lejeune, NC 28542 | 2008-08-28 |
| 1194885442 | Dynela Louise Garcia-baran | Military Health Care Provider | 2168 Brandymill Ln, Jacksonville, NC 28546 | 2006-12-09 |
| 1669452389 | Michael James Harrison | Military Health Care Provider | Department Anesthesia Naval Hospital Cherry Point, Mcas Cherry Point, Havelock, NC 28533 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on CROSS CREEK URGENT CARE AND FAMILY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.