CROSS COUNTY WORKSHOP (NPI# 1538293022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538293022 |
| Entity Type | Organization |
| Organization Name | CROSS COUNTY WORKSHOP |
| Practice Address |
506 Commercial Ave E Wynne AR 72396-2933 |
| Practice Telephone | 8702389088 |
| Practice Fax Number | 8702380766 |
| Mailing Telephone | 8702389088 |
| Mailing Fax Number | 8702380766 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. OLA MAE MCCAMMON (DIRECTOR) |
| Authorized Official Telephone | 8702389088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | AR | Managed Care Organizations |
| Street Address |
506 COMMERCIAL AVE E |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023544962 | Ndiglad Children Services Inc | Preferred Provider Organization | 1 White Willow Ct, Little Rock, AR 72212-2031 | 2017-05-11 |
| 1871039883 | Systemic Family Therapy LLC | Preferred Provider Organization | 17724 I 30 Ste 2 Ofc 5, Benton, AR 72019-2907 | 2017-01-13 |
| 1467817148 | Harrison Pediatrics | Preferred Provider Organization | 1418 Mccoy Dr, Harrison, AR 72601-2411 | 2015-12-22 |
| 1275922833 | Dr. Sidney H. Simpson P. A. | Preferred Provider Organization | 1142 Highway 71 S, Suite D, Mena, AR 71953-8078 | 2015-01-20 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1871990358 | Arkansas Quality Therapy Co. | Preferred Provider Organization | 14105 Skyline Dr, Alexander, AR 72002-1824 | 2014-11-26 |
| 1396182093 | Elite Men's Health | Preferred Provider Organization | 311 S Church St, Suite G, Jonesboro, AR 72401-2913 | 2013-06-04 |
| 1659718419 | Systemedic | Preferred Provider Organization | 10809 Executive Center Dr Ste 105, Little Rock, AR 72211-6020 | 2013-06-03 |
| 1659696276 | Elite Medical Connections, LLC | Preferred Provider Organization | 1023 Skyline Drive, Alexander, AR 72002 | 2010-04-07 |
| 1508010398 | Gale Annette Barker | Preferred Provider Organization | 178 Pinehaven Dr, Winslow, AR 72959-2500 | 2008-11-06 |
| 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.