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
MONA WELLS (CFO)
(573) 339-1196
Entity
Organization
Contact information
Practice address
1314 BRENDA AVE, PERRYVILLE, MO 63775-2624
(573) 332-0808
(573) 339-7945
Mailing address
1314 BRENDA AVE, PERRYVILLE, MO 63775-2624
(573) 332-0808
(573) 339-7945
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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