CROSS TRAILS MEDICAL CENTER


Address: 307 Gabriel St, Advance, MO 63730
Phone: 5737223034

CROSS TRAILS MEDICAL CENTER (NPI# 1841508264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841508264
Entity Type Organization
Organization Name CROSS TRAILS MEDICAL CENTER
Practice Address 307 Gabriel St
Advance
MO 63730
Practice Telephone 5737223034
Practice Fax Number 5737223244
Mailing Telephone 5733320808
Mailing Fax Number 5733395803
Enumeration Date 2010-09-20
Last Update Date 2010-09-20
Authorized Official Name MONA WELLS (CFO)
Authorized Official Telephone 5733391196
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225191752 Cross Trails Medical Center Clinic/Center 307 Gabriel St., Advance, MO 63730 2006-12-18
1962565499 Cross Trails Medical Center Clinic/Center 109 Hwy 51 North, Marble Hill, MO 63764 2006-12-18
1972925444 Cross Trails Medical Center Dentist 1314 Brenda Ave, Perryville, MO 63775-2624 2014-01-17
1215368402 Cross Trails Medical Center Clinic/Center 1314 Brenda Ave, Perryville, MO 63775-2624 2013-12-12
1811051642 Cross Trails Medical Center Clinic/Center 408 S Broadview St, Cape Girardeau, MO 63703-5725 2006-12-19
1821151622 Cross Trails Medical Center Clinic/Center 109 Hwy 51 North, Marble Hill, MO 63764 2006-12-19
1356393268 Cross Trails Medical Center Clinic/Center 408 S Broadview St, Cape Girardeau, MO 63703-5725 2006-05-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CROSS TRAILS MEDICAL CENTER 408 S Broadview St, Cape Girardeau, MO 63703-5725

Office Location

Street Address 307 GABRIEL ST
City ADVANCE
State MO
Zip Code 63730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154583987 John Carl Graf IIi Dentist 307 Gabriel St, Advance, MO 63730-0039 2008-07-02
1265734941 Beverly Jaye Dillow Dental Hygienist 307 Gabriel St, Advance, MO 63730-0039 2010-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689292302 Kimberly Backfisch Counselor 105b N Oak St, Advance, MO 63730 2020-07-09
1306272653 Phelps In-home Care, LLC In Home Supportive Care 201 W. Sturdivant St., Advance, MO 63730 2013-09-18
1265691869 Advance Medical Clinic Clinic/Center 103 South Oak Street, Advance, MO 63730 2008-06-09
1063620565 Jerrilyn D Adkisson Point of Service 24777 State Hwy 25, Advance, MO 63730 2007-05-18
1063553402 Advance R-iv Public Schools Local Education Agency (LEA) 19805 State Hwy C, Advance, MO 63730 2007-02-09
1154476919 Cindy Beussink Speech-Language Pathologist 19134 County Rd 208, Advance, MO 63730 2007-01-24
1225191752 Cross Trails Medical Center Clinic/Center 307 Gabriel St., Advance, MO 63730 2006-12-18
1346356177 Haven Health Cares Clinic/Center 502 West Sturdivant Street, Advance, MO 63730 2006-08-22
1326242645 Mary Diane Reeves Speech-Language Pathologist 19805 State Hwy C, Box 370, Advance, MO 63730 2007-06-12
1952582223 Miranda D Sauceda Clinic/Center 502 West Sturdivant, Advance, MO 63730-0137 2007-11-15
Find all providers in zip 63730

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154583987 John Carl Graf IIi Dentist 307 Gabriel St, Advance, MO 63730-0039 2008-07-02
1437373883 Adam T. Dorsett Dentist 127 Royal Troon Ln, Advance, NC 27006 2007-04-13
1912121393 Adam T. Dorsett, Dds, and Jason T. Moore, Dds, Pa Dentist 127 Royal Troon Lane, Advance, NC 27006-6651 2007-04-13
1861583882 Todd H Carter Dentist 123 Nc Hwy 801 South, C-100, Advance, NC 27006 2006-09-27
1881218006 Cody Matthew Sabol Dentist 127 Royal Troon Ln, Advance, NC 27006-6970 2020-06-03
1083238315 Courtney Rose Dentist 127 Royal Troon Ln, Advance, NC 27006-6970 2020-06-02
1497162895 Liner, Ward & Shobe Dds, Pa Dentist 135 Medical Dr, Advance, NC 27006-6684 2014-07-17
1881006021 Jeffrey William Duffy Dentist 127 Royal Troon Ln, Advance, NC 27006-6970 2014-05-22
1457645046 Daniel Gregg Moore Dentist 127 Royal Troon Lane, Advance, NC 27006-6651 2011-06-01
1013058700 Thomas S. Browder Dentist 5380 Us Highway 158, Suite 200, Advance, NC 27006-6907 2007-02-08
Find all providers in ADVANCE

Competitor

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City ADVANCE
Zip Code 63730

Improve Information

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Dataset Information

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.

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