| Crossroad Health Center | |
|
5 E Liberty St Cincinnati OH 45202-8202 | |
| (513) 381-2247 | |
| (513) 381-2256 |
| Full Name | Crossroad Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 E Liberty St, Cincinnati, Ohio |
| Authorized Official Name and Position | James Berrens (CEO) |
| Authorized Official Contact | 5133812247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroad Health Center 5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 381-2247 | Crossroad Health Center 5 E Liberty St Cincinnati OH 45202-8202 Ph: (513) 381-2247 |
| NPI Number | 1598719361 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 7517966211 |
|---|---|
| Medicare Enrollment ID | O20061206000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598719361 | NPI | - | NPPES |
| 2162181 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
| Provider Name | Thomas C Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568429686 PECOS PAC ID: 5991690083 Enrollment ID: I20040218000147 |
| Provider Name | Amy K Van Milligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841221538 PECOS PAC ID: 2668406331 Enrollment ID: I20050922000011 |
| Provider Name | Amber Severn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609017599 PECOS PAC ID: 0446396345 Enrollment ID: I20091007000213 |
| Provider Name | Laura Marsan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386046134 PECOS PAC ID: 8426279464 Enrollment ID: I20151023000949 |
| Provider Name | Natalia Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295105369 PECOS PAC ID: 8426352931 Enrollment ID: I20160203001922 |
| Provider Name | Molly Suzanne Carey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417117789 PECOS PAC ID: 2264738020 Enrollment ID: I20160304001583 |
| Provider Name | Valerie R Mbacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013387679 PECOS PAC ID: 0749575918 Enrollment ID: I20160826001277 |
| Provider Name | Susamma J Pappachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558718197 PECOS PAC ID: 9638444862 Enrollment ID: I20171013001153 |
| Provider Name | Christine N Furgason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376986778 PECOS PAC ID: 3375801004 Enrollment ID: I20171229000141 |
| Provider Name | Amber R Day |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487072625 PECOS PAC ID: 8527379502 Enrollment ID: I20180329001026 |
| Provider Name | Allison Michelle Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851788731 PECOS PAC ID: 5496091209 Enrollment ID: I20190116001472 |
| Provider Name | Quinesha Dinkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307942 PECOS PAC ID: 5991106718 Enrollment ID: I20210630000814 |
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