CROSSROADS TREATMENT CENTER OF SOMERSET, PSC (NPI# 1417452798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417452798 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF SOMERSET, PSC |
| Practice Address |
607 Clifty St Somerset KY 42503-1765 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 6064854730 |
| Practice Fax Number | 6064854733 |
| Mailing Telephone | 8645273145 |
| Mailing Fax Number | 8649900653 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | RUPERT JAMES MCCORMAC (PRESIDENT) |
| Authorized Official Telephone | 8645273145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | KY | Agencies | |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
KY | Ambulatory Health Care Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
607 CLIFTY ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687798 | Lifescan Imaging, LLC | Clinic/Center | 607 Clifty St, Ste 102, Somerset, KY 42503-1765 | 2005-05-23 |
| 1689274045 | James Scott Neal | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1427658871 | Courtney Fox | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1790385151 | Amy Lee Conley | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-27 |
| 1043819527 | Donna Madden | Licensed Practical Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-10-26 |
| 1285241315 | Nettie P Embry | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-09-23 |
| 1922632892 | Amanda Sexton | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2020-02-28 |
| 1851937700 | Heather Susanne Bishop | Licensed Practical Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2019-11-25 |
| 1922658749 | Carla Marie Suttles | Counselor | 607 Clifty St, Somerset, KY 42503-1765 | 2019-09-13 |
| 1245728526 | Terri Stege | Registered Nurse | 607 Clifty St, Somerset, KY 42503-1765 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
| 1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
| 1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
| 1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
| 1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
| 1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
| 1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
| 1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
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| 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.