Crossroads Outpatient Npi

LBN: Crossroads Extension
Crossroads Outpatient Npi is an health care organization with primary practice located at 244 N Extension Rd , Mesa AZ 85201-6300. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty. Crossroads Extension can be contacted via phone (602) 263-5242, or through Riley, Chris via phone (602) 263-5242.

Contact Information

Primary practice address
244 N Extension Rd Mesa AZ 85201-6300
Phone: (602) 263-5242
Fax: (602) 595-4434
Website:
Map and Directions
Authorized official contact:
Name: Riley, Chris
Phone: (602) 263-5242

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X

Profile Details

NPI number 1184103400
LBN Legal business name Crossroads Extension
DBA Doing business as Crossroads Outpatient Npi
Authorized official Riley, Chris
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2018
Last updated Dec 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184103400 NPPES
Arizona MEDICAID CSLG8406
Arizona MEDICAID CSLG-9554

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