Organization
ONE CROSS HEALTH CLINIC INC
Active
Organization
ONE CROSS HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ROSE MCKENNA APRN (PRESIDENT)
(270) 403-1106
Entity
Organization
Contact information
Practice address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
(270) 789-0097
Mailing address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
(270) 789-0097
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
3004091
KY
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100657890
—
KY
01
—
K124131
MEDICARE
KY
Enumeration date
11/10/2014
Last updated
12/01/2022
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