Crossroads 1010 Llc

LBN: Crossroads 1010 Llc
Crossroads 1010 Llc is an health care organization with primary practice located at 193908 Us Hwy 271 , Antlers OK 74523. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Crossroads 1010 Llc can be contacted via phone (580) 271-7080, or through Griffin, Jennifer via phone (580) 317-7002.

Contact Information

Primary practice address
193908 Us Hwy 271 Antlers OK 74523
Phone: (580) 271-7080
Fax: (580) 298-2081
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Jennifer Licensed Professional Counselor (LPC)
Phone: (580) 317-7002

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174072482
LBN Legal business name Crossroads 1010 Llc
DBA Doing business as
Authorized official Griffin, Jennifer Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2016
Last updated Nov 27th, 2018 - about 8 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 1174072482 NPPES
Oklahoma MEDICAID 200734990A

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