CROSSROADS REHABILITATION SERVICES (NPI# 1265704498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265704498 |
| Entity Type | Organization |
| Organization Name | CROSSROADS REHABILITATION SERVICES |
| Practice Address |
206b Oxford Rd New Albany MS 38652-3115 |
| Practice Telephone | 6625344445 |
| Practice Fax Number | 6625349449 |
| Mailing Telephone | 6625344445 |
| Mailing Fax Number | 6625349449 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | KEVIN A PARK (VICE-PRESIDENT) |
| Authorized Official Telephone | 6625344445 |
| Authorized Official Credential | OTR/L, CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 09198/11.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01874080 | 05 |
| Street Address |
206B OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851222 | Crossroads Rehabilitation Services, Inc | Clinic/Center | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-10-04 |
| 1053936138 | Sam Jackson Dunnam | Physical Medicine & Rehabilitation | 206b Oxford Rd, New Albany, MS 38652-3115 | 2020-06-15 |
| 1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
| 1285155176 | Mitchell Eugene Huelsing | Physical Medicine & Rehabilitation | 206b Oxford Rd, New Albany, MS 38652-3115 | 2017-06-29 |
| 1386936268 | Mika W Brown | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2011-05-10 |
| 1972660405 | William Benjamin Coker | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2007-01-03 |
| 1215004965 | Kevin Alan Park | Occupational Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-29 |
| 1811063019 | Joseph Chadwick Brown | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950119 | Westmoreland Medical, Inc | Durable Medical Equipment & Medical Supplies | 1945 State St Ste 150, New Albany, IN 47150-4919 | 2018-08-06 |
| 1447659859 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1950 State St, New Albany, IN 47150 | 2014-08-21 |
| 1447521315 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 4222 Charlestown Rd, New Albany, IN 47150-9567 | 2012-01-24 |
| 1790008274 | Healthlink Medical Group | Durable Medical Equipment & Medical Supplies | 712 Coulter Dr, New Albany, MS 38652-2807 | 2010-03-11 |
| 1093956955 | Williams Bros. Health Care Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 727 Mount Tabor Rd Ste D, New Albany, IN 47150 | 2009-03-23 |
| 1477793883 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 225 State Highway 30 W, New Albany, MS 38652-3129 | 2009-02-25 |
| 1831350107 | Brian L. Seger | Durable Medical Equipment & Medical Supplies | 1624 State St, New Albany, IN 47150-4937 | 2008-06-19 |
| 1891835625 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 474 West Bankhead St, New Albany, MS 38652 | 2007-02-08 |
| 1235203381 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 222 Starlyn Ave, New Albany, MS 38652-2428 | 2006-11-20 |
| 1962576843 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1931 West St Ste A, New Albany, IN 47150-5039 | 2006-11-20 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on CROSSROADS REHABILITATION SERVICES.
| 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.