Crossroads Clinic Pllc

LBN: Crossroads Clinic Pllc
Crossroads Clinic Pllc is an health care organization with primary practice located at 1667 Ooltewah Ringgold Rd Suite 111, Ooltewah TN 37363-9830. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Crossroads Clinic Pllc can be contacted via phone (423) 825-4881, or through Vergot, Susan via phone (423) 902-0681.

Contact Information

Primary practice address
1667 Ooltewah Ringgold Rd Suite 111 Ooltewah TN 37363-9830
Phone: (423) 825-4881
Fax: (423) 825-4882
Website:
Map and Directions
Authorized official contact:
Name: Vergot, Susan Doctor of Medicine (MD)
Phone: (423) 902-0681

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1043662687
LBN Legal business name Crossroads Clinic Pllc
DBA Doing business as
Authorized official Vergot, Susan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2016
Last updated Jul 7th, 2016 - about 10 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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