ONE CROSS COMMUNITY (NPI# 1215404082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215404082 |
| Entity Type | Organization |
| Organization Name | ONE CROSS COMMUNITY |
| Practice Address |
102 Winston Way Ste 5 Campbellsville KY 42718-4991 |
| Practice Telephone | 2707890034 |
| Practice Fax Number | 2707890097 |
| Mailing Telephone | 2707890034 |
| Mailing Fax Number | 2707890097 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | KIMBERLY MCKENNA (PRESIDENT) |
| Authorized Official Telephone | 2707890034 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Ingram Ave, Campbellsville, KY 427181625 | 2707890034 | |
| 773 E Main St, Lebanon, KY 400331701 | 2707890034 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ONE CROSS COMMUNITY, INC. | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 |
| Street Address |
102 WINSTON WAY STE 5 |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-4991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295810786 | Kimberly Rose Mckenna | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2006-10-25 |
| 1265039309 | Melissa Simpson | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-10-01 |
| 1700415320 | Heather Loy | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-04-06 |
| 1740821347 | Misty Renee Curry | Social Worker | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2019-10-04 |
| 1447710314 | One Cross Community, Inc. | Counselor | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2019-03-25 |
| 1356896211 | Brittanie Landis | Social Worker | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2016-08-22 |
| 1942606454 | One Cross Health Clinic Inc | Clinic/Center | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982865556 | Spalding University | Clinic/Center | 812 S 2nd St, Louisville, KY 40203-2210 | 2008-06-17 |
| 1912917543 | Kentucky River Foothills Development Council, Inc. | Clinic/Center | 209 River Dr, Irvine, KY 40336-1142 | 2006-08-08 |
| 1336170802 | Bowling Green Warren County Community Hospital Corporation | Clinic/Center | 2625 Scottsville Rd, Bowling Green, KY 42104-4477 | 2006-07-05 |
| 1962632893 | Leewhitney Meadows Rudolph | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2009-07-27 |
| 1154572725 | Jenq-sheng Liu M.d. Inc | Clinic/Center | 414 Central Ave, South Williamson, KY 41503-4121 | 2008-10-01 |
| 1861555427 | Richard J Lovell | Clinic/Center | 425 Broadway St, Suite 201, Paducah, KY 42001-0713 | 2006-12-18 |
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on ONE CROSS COMMUNITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.