# CROSSROADS URGENT CARE, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Care - NorthShore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639965387
- **Authorized official:** RUDY BLANK (CFO)
- **Authorized official phone:** (615) 988-2005

## Contact information

- **Practice address:** 419 N MARKET ST STE 100, CHATTANOOGA, TN 37405-3974
- **Practice address phone:** (423) 414-3012
- **Practice address fax:** (423) 414-3988
- **Mailing address:** 30 BURTON HILLS BLVD STE 175, NASHVILLE, TN 37215-6403
- **Mailing address phone:** (615) 988-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 04/18/2025