CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC (NPI# 1346850708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346850708 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC |
Practice Address |
114 Perkins Ln Jacksboro TN 37757-2833 |
Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
Practice Telephone | 8644367266 |
Mailing Telephone | 8644367266 |
Enumeration Date | 2020-07-31 |
Last Update Date | 2020-08-11 |
Authorized Official Name | RUPERT JAMES MCCORMAC (PRESIDENT/CEO) |
Authorized Official Telephone | 8645273145 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316403405 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 | 2019-02-14 |
Street Address |
114 PERKINS LN |
City | JACKSBORO |
State | TN |
Zip Code | 37757-2833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
1962540880 | State of Tennessee | Public Health or Welfare | 162 Sharp Perkins Road, Jacksboro, TN 37757 | 2007-02-02 |
1083868517 | Med-trans Corporation | Ambulance | 588 Memorial Lane, Jacksboro, TN 37757-0000 | 2008-11-11 |
1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
Find all providers in zip 37757 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477161982 | Addiction Behavioral Care | Clinic/Center | 2617 Grandview Ave Ste 103, Nashville, TN 37211-2263 | 2020-07-21 |
1841808342 | Nashville Addiction Clinic | Clinic/Center | 5515 Edmondson Pike Ste 118, Nashville, TN 37211-5871 | 2020-07-21 |
1043828668 | Chattanooga Recovery Center LLC | Clinic/Center | 13 W Kent St Ste 201, Chattanooga, TN 37405-9913 | 2020-07-20 |
1588296131 | Integrative Health Centers LLC | Clinic/Center | 1105 16th Ave S Ste C, Nashville, TN 37212-2327 | 2020-02-11 |
1912465121 | Applegate Health Services of Tennessee, Inc | Clinic/Center | 446 Metroplex Dr Ste 200a, Nashville, TN 37211-3139 | 2019-03-06 |
1295204022 | Harpeth Recovery Clinic | Clinic/Center | 3011 Harrah Dr Ste T, Spring Hill, TN 37174-6254 | 2018-11-22 |
1861984353 | The Transition House of Tennessee, Inc. | Clinic/Center | 1024 E Mlk, Chattanooga, TN 37403-2710 | 2018-05-31 |
1265923775 | Wake Up Well Recovery LLC | Clinic/Center | 211 Donelson Pike Ste 108, Nashville, TN 37214-2929 | 2018-05-21 |
1275049215 | Holston Health Associates, Pllc | Clinic/Center | 249 E Main St Ste A, Johnson City, TN 37604-5707 | 2017-12-27 |
1790291334 | Lifechangers Outreach | Clinic/Center | 2450 Winfield Dunn Pkwy, Kodak, TN 37764-2100 | 2017-12-19 |
Find all providers with the same taxonomy |
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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.