CROSS TRAILS MEDICAL CENTER – NPI #1821151622
Clinic/Center

CROSS TRAILS MEDICAL CENTER is an AHC clinic located in MARBLE HILL, MO. NPPES has assigned the NPI number 1821151622 to CROSS TRAILS MEDICAL CENTER on December 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CROSS TRAILS MEDICAL CENTER below.

NPI Profile for
CROSS TRAILS MEDICAL CENTER

NPI Number
1821151622
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROSS TRAILS MEDICAL CENTER
Primary location
109 HWY 51 NORTH
MARBLE HILL, MO 63764
Phone: (573) 238-2725 Fax: (573) 238-3795
Mailing address
PO BOX 349
MARBLE HILL, MO 63764-0349
Phone: (573) 238-2725 Fax: (573) 238-9795
Organization Subpart
No
Authorized Official
VICKI SMITH
CEO
Phone: (573) 332-0808
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.