CROSSROADS TREATMENT CENTER OF PETERSBURG, PC (NPI# 1528565801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528565801 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTER OF PETERSBURG, PC |
Other Organization Name | STARTING POINT OF ABINGDON |
Practice Address |
301 Falls Dr Nw Ste 353 Abingdon VA 24210 |
Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
Practice Telephone | 8044315585 |
Practice Fax Number | 8044315820 |
Mailing Telephone | 8645273145 |
Mailing Fax Number | 8649900653 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-06-13 |
Authorized Official Name | RUPERT JAMES MCCORMAC (PRESIDENT) |
Authorized Official Telephone | 8645273145 |
Is Organization Subpart | Y |
Parent Organization Name | CROSSROADS TREATMENT CENTER OF PETERSBURG, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
N | 251S00000X | Community/Behavioral Health | VA | Agencies | |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Starting Point of Abingdon | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043795057 | Crossroads Treatment Center of Petersburg, PC | Community/Behavioral Health | 710 W Ridge Rd Ste I, Wytheville, VA 24382-1061 | 2018-09-26 |
1699218669 | Crossroads Treatment Center of Petersburg, PC | Community/Behavioral Health | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2016-11-23 |
Street Address |
301 FALLS DR NW STE 353 |
City | ABINGDON |
State | VA |
Zip Code | 24210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
1467683300 | Seth Clayton Thompson | Psychiatry & Neurology | 300 Valley St. Ne, Abingdon, VA 24210 | 2009-07-27 |
Find all providers in zip 24210 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942689195 | Live Lite Md LLC | Clinic/Center | 100 Walter Ward Blvd, Suite 300, Abingdon, MD 21009-1284 | 2015-05-20 |
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1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
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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.