Organization
CROSS TRAILS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI A SMITH (CEO)
(573) 332-0808
Entity
Organization
Contact information
Practice address
109 HWY 51 NORTH, MARBLE HILL, MO 63764
(573) 238-2725
(573) 238-3795
Mailing address
PO BOX 349, MARBLE HILL, MO 63764-0349
(573) 238-2725
(573) 238-9795
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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