Crossroads Health Clinic, P.A.

LBN: Crossroads Health Clinic, P.A.
Crossroads Health Clinic, P.A. is an health care organization with primary practice located at 1801 S Harper Rd Ste 7 , Corinth MS 38834-6726. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Crossroads Health Clinic, P.A. can be contacted via phone (662) 286-2300, or through Mcfalls, Debora via phone (662) 286-2300.

Contact Information

Primary practice address
1801 S Harper Rd Ste 7 Corinth MS 38834-6726
Fax: (662) 286-7010
Website:
Authorized official contact:
Name: Mcfalls, Debora Certified Family Nurse Practitioner (CFNP)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 258980 Mississippi

Profile Details

NPI number 1932139169
LBN Legal business name Crossroads Health Clinic, P.A.
DBA Doing business as
Authorized official Mcfalls, Debora Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated May 10th, 2012 - about 12 years ago

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 1932139169 NPPES
Mississippi MEDICAID 00656871
Mississippi Other R582662
Mississippi MEDICAID 0121943

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