| Cross Trails Medical Center | |
|
2430 Golden Street Cape Girardeau MO 63703 | |
| (573) 339-1196 | |
| (573) 339-9378 |
| Full Name | Cross Trails Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2430 Golden Street, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Sheila Pruitt (BILLING COORDINATOR) |
| Authorized Official Contact | 5733320808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Trails Medical Center 408 S Broadview St Cape Girardeau MO 63703-5725 Ph: (573) 332-0808 | Cross Trails Medical Center 2430 Golden Street Cape Girardeau MO 63703 Ph: (573) 339-1196 |
| NPI Number | 1033895628 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 8820902851 |
|---|---|
| Medicare Enrollment ID | O20230725003377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033895628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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