Organization
CROSSROADS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINE S BERGERON (PRESIDENT)
(219) 756-6600
Entity
Organization
Contact information
Practice address
403 W 81ST AVE, MERRILLVILLE, IN 46410-5317
(219) 756-6600
(219) 756-6602
Mailing address
403 W 81ST AVE, MERRILLVILLE, IN 46410-5317
(219) 756-6600
(219) 756-6602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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