CROSSROADS, INC. - INTEGRATED HEALTH CARE - EXTENSION (NPI# 1861900268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861900268 |
| Entity Type | Organization |
| Organization Name | CROSSROADS, INC. - INTEGRATED HEALTH CARE - EXTENSION |
| Other Organization Name | CROSSROADS, INC |
| Practice Address |
244 N Extension Rd Mesa AZ 85201-6300 |
| Mailing Address |
1700 E Thomas Rd Phoenix AZ 85016-7605 |
| Practice Telephone | 6022635242 |
| Practice Fax Number | 6025954434 |
| Mailing Telephone | 6022635242 |
| Mailing Fax Number | 6025954434 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CHRIS RILEY (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6022635242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads, Inc | Doing Business As Name - Organization |
| Crossroads, Inc. | Doing Business As Name - Organization |
| Street Address |
244 N EXTENSION RD |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910976 | Crossroads Extension | Community/Behavioral Health | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2018-01-12 |
| 1558986224 | Jodi E Bray | Nurse Practitioner | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2020-06-09 |
| 1730737180 | Lauren Delapiedra | Registered Nurse | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2019-08-29 |
| 1184102709 | Crossroads, Inc | Community/Behavioral Health | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474461 | Cactus Pediatric Orthopaedics, Pllc | Clinic/Center | 1500 S Dobson Rd Ste 200, Mesa, AZ 85202-4724 | 2019-05-31 |
| 1750768446 | Beth Furman, Do, LLC | Clinic/Center | 3035 S Ellsworth, Suite #103, Mesa, AZ 85212 | 2015-05-01 |
| 1053798793 | The Source Naturopathic Medical Clinic | Clinic/Center | 1932 N Mesa Dr Unit 9, Mesa, AZ 85201-1622 | 2015-05-01 |
| 1679973358 | Performance Therapies Plus LLC | Clinic/Center | 2855 E Brown Rd Ste 20, Mesa, AZ 85213-4216 | 2014-08-29 |
| 1750641403 | Banner Health Clinic | Clinic/Center | 1432 S Dobson Rd Ste 402, Mesa, AZ 85202-4777 | 2012-05-29 |
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1790950988 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 5735 E Mckellips Rd, Suite 101, Mesa, AZ 85215-2875 | 2008-04-28 |
| 1942481379 | Clouse Chiropractic Clinic LLC | Clinic/Center | 437 S Gilbert Rd Ste 14, Mesa, AZ 85204-2866 | 2007-11-14 |
| 1467453019 | Advanced Cardiac Specialists, Chartered | Clinic/Center | 515 N Mesa Dr, Ste. 100, Mesa, AZ 85201-5914 | 2005-08-04 |
| 1831737303 | Repower Medical Clinic, LLC | Clinic/Center | 7254 E Southern Ave Ste 113, Mesa, AZ 85209-2787 | 2019-12-16 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on CROSSROADS, INC. - INTEGRATED HEALTH CARE - EXTENSION.
| 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.