| NPI | 1053414698 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-07 |
| Last Updated | 2009-11-19 |
| Authorized Official | Gary Burton Administrator Phone: 9314845141 |
| Mailing Address | 100 Lantana Rd, Suite 202 Crossville, TN 38555-1903 United States Phone: (931) 484-5141 | Fax: (931) 484-5620 📍 View Map |
| Primary Practice Address | 100 Lantana Rd, Suite 202 Crossville, TN 38555-1903 United States Phone: (931) 484-5141 | Fax: (931) 484-5620 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 3370906 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QM1300X – Clinic/Center, Multi-Specialty | — | — |
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About NPI 1053414698
Crossville Medical Group Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1053414698. The primary specialty listed is Clinic/Center, Multi-Specialty. The organization is located in Crossville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053414698?
NPI 1053414698 belongs to Crossville Medical Group Pa, a Clinic/Center, Multi-Specialty in Crossville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053414698 active?
The current status of NPI 1053414698 in the NPPES registry is Active. The record was last updated on 2009-11-19.
What specialty is NPI 1053414698?
NPI 1053414698 is classified under the taxonomy Clinic/Center, Multi-Specialty. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053414698?
You can verify NPI 1053414698 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053414698?
The primary practice address on file for NPI 1053414698 is 100 Lantana Rd, Crossville, TN 38555-1903. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053414698 issued?
NPI 1053414698 was first issued (enumerated) on 2006-09-07. The NPPES record was last updated on 2009-11-19.
Practice Location Map
Crossville Medical Group Pa is located at 100 Lantana Rd, Crossville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Crossville Medical Group Pa. All records sourced from the CMS NPPES registry.