CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC (NPI# 1316403405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316403405 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC |
| Practice Address |
2305 N Gateway Ave Unit 4 Harriman TN 37748-8683 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 8008056989 |
| Mailing Telephone | 8644367266 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | RUPERT MCCORMAC (PRESIDENT/CEO) |
| Authorized Official Telephone | 8644367266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads Treatment Center of Tennessee, PC | Doing Business As Name - Organization |
| Starting Point of Harriman | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2305 N Gateway Ave Unit 4, Harriman, TN 377488683 | 8008056989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850708 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 114 Perkins Ln, Jacksboro, TN 37757-2833 | 2020-07-31 |
| Street Address |
2305 N GATEWAY AVE UNIT 4 |
| City | HARRIMAN |
| State | TN |
| Zip Code | 37748-8683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904324 | Jared Michael Orick | Nurse Practitioner | 1855 Tanner Way Ste 110, Harriman, TN 37748 | 2018-06-03 |
| 1447769062 | Jonni Rhea Wood | Nurse Practitioner | 2497 S Roane St Ste 110, Harriman, TN 37748 | 2017-09-26 |
| 1396173423 | Roane Urgent Care Clinic LLC | Clinic/Center | 2497 S. Roane St, Suite 110 B, Harriman, TN 37748 | 2013-10-29 |
| 1861837080 | Rebecca T Jordan | Community Health Worker | 257 Patton Lane, Harriman, TN 37748 | 2013-05-01 |
| 1891944765 | Kristine Joan Dyer | Nurse Practitioner | 8045 Roane Medical Center Drive, Harriman, TN 37748 | 2008-09-15 |
| 1104047703 | Doyle Alfred Griffis | Pharmacist | 319 N. Roane Street, Harriman, TN 37748 | 2007-05-01 |
| 1629107651 | Paula A Margrave | Pharmacist | Roane Plaza Hwy 27, Food City Pharmacey #634, Harriman, TN 37748 | 2007-03-05 |
| 1952471476 | Roane Chiropractic Center | Chiropractor | 1208 South Roane Street, Harriman, TN 37748 | 2006-11-09 |
| 1487756755 | Douglas Clark | Family Medicine | 2317 South Roane Street, Harriman, TN 37748 | 2006-09-05 |
| 1588681068 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1130 S Roane Street, Hwy. 27, Harriman, TN 37748 | 2006-07-17 |
| Find all providers in zip 37748 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850708 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 114 Perkins Ln, Jacksboro, TN 37757-2833 | 2020-07-31 |
| 1477161982 | Addiction Behavioral Care | Clinic/Center | 2617 Grandview Ave Ste 103, Nashville, TN 37211-2263 | 2020-07-21 |
| 1841808342 | Nashville Addiction Clinic | Clinic/Center | 5515 Edmondson Pike Ste 118, Nashville, TN 37211-5871 | 2020-07-21 |
| 1043828668 | Chattanooga Recovery Center LLC | Clinic/Center | 13 W Kent St Ste 201, Chattanooga, TN 37405-9913 | 2020-07-20 |
| 1588296131 | Integrative Health Centers LLC | Clinic/Center | 1105 16th Ave S Ste C, Nashville, TN 37212-2327 | 2020-02-11 |
| 1912465121 | Applegate Health Services of Tennessee, Inc | Clinic/Center | 446 Metroplex Dr Ste 200a, Nashville, TN 37211-3139 | 2019-03-06 |
| 1295204022 | Harpeth Recovery Clinic | Clinic/Center | 3011 Harrah Dr Ste T, Spring Hill, TN 37174-6254 | 2018-11-22 |
| 1861984353 | The Transition House of Tennessee, Inc. | Clinic/Center | 1024 E Mlk, Chattanooga, TN 37403-2710 | 2018-05-31 |
| 1265923775 | Wake Up Well Recovery LLC | Clinic/Center | 211 Donelson Pike Ste 108, Nashville, TN 37214-2929 | 2018-05-21 |
| 1275049215 | Holston Health Associates, Pllc | Clinic/Center | 249 E Main St Ste A, Johnson City, TN 37604-5707 | 2017-12-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC.
| 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.