# CROSSROADS URGENT CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AST - UC - St. Beth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164317640
- **Authorized official:** STEPHANIE HICKS (CONTROLLER)
- **Authorized official phone:** (615) 988-2004

## Contact information

- **Practice address:** 2147 WILMA RUDOLPH BLVD STE 102, CLARKSVILLE, TN 37040-6798
- **Practice address phone:** (931) 241-4115
- **Practice address fax:** (931) 241-4069
- **Mailing address:** 30 BURTON HILLS BLVD STE 175, NASHVILLE, TN 37215-6403
- **Mailing address phone:** (615) 864-8709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 06/12/2025