# CROSSROADS URGENT CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Team
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427781129
- **Authorized official:** STEPHANIE HICKS (CONTROLLER)
- **Authorized official phone:** (615) 988-2004

## Contact information

- **Practice address:** 625 E 12TH ST, SOUTH PITTSBURG, TN 37380-1630
- **Practice address phone:** (423) 648-4460
- **Practice address fax:** (423) 648-4461
- **Mailing address:** 30 BURTON HILLS BLVD STE 175, NASHVILLE, TN 37215-6403
- **Mailing address phone:** (615) 864-8709
- **Mailing address fax:** (615) 301-6558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 03/26/2025