Organization
CROSS TRAILS MEDICAL CENTER
Active
Parent organization
CROSS TRAILS MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSS TRAILS MEDICAL CENTER
Authorized official
SHEILA PRUITT (BILLING COORDINATOR)
(573) 332-0808
Entity
Organization
Contact information
Practice address
2430 GOLDEN STREET, CAPE GIRARDEAU, MO 63703
(573) 339-1196
(573) 339-9378
Mailing address
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5725
(573) 332-0808
(573) 339-7945
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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