| Cross Trails Medical Center | |
|
109 Hwy 51 North Marble Hill MO 63764 | |
| (573) 238-2725 | |
| (573) 238-3795 |
| Full Name | Cross Trails Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 Hwy 51 North, Marble Hill, Missouri |
| Authorized Official Name and Position | Mona Wells (CFO) |
| Authorized Official Contact | 5733391196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Trails Medical Center Po Box 349 Marble Hill MO 63764-0349 Ph: (573) 238-2725 | Cross Trails Medical Center 109 Hwy 51 North Marble Hill MO 63764 Ph: (573) 238-2725 |
| NPI Number | 1962565499 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 8820902851 |
|---|---|
| Medicare Enrollment ID | O20070209000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962565499 | NPI | - | NPPES |
| CD9626 | Other | MO | RAILROAD MEDICARE |
| 508082815 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bollinger County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Hwy 51 N, Marble Hill, MO 63764 Phone: 573-238-2817 Fax: 573-238-3085 | |
Marble Hill Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Broadway St, Marble Hill, MO 63764 Phone: 573-238-0038 Fax: 573-238-0042 | |
Marble Hill Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Broadway St., Marble Hill, MO 63764 Phone: 573-238-0038 Fax: 573-238-0042 |