# CROSSCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700297959
- **Authorized official:** DR. TRACY G CROSS MD (OWNER)
- **Authorized official phone:** (606) 387-3000

## Contact information

- **Practice address:** 250 BURKESVILLE RD, ALBANY, KY 42602-1604
- **Practice address phone:** (606) 387-3000
- **Practice address fax:** (606) 387-3307
- **Mailing address:** PO BOX 456, ALBANY, KY 42602-0456
- **Mailing address phone:** (606) 387-3000
- **Mailing address fax:** (606) 387-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | KY | — |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 208600000X | Surgery Physician | 33185 | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 05/09/2014
- **Last updated:** 10/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K183220 | MEDICATE GROUP PTAN | KY |