| Crossroads Healthcare Clinic | |
|
100 Central Ave Ste 100 Cheyenne WY 82007-1330 | |
| (307) 632-8064 | |
| (307) 632-6131 |
| Full Name | Crossroads Healthcare Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Central Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Melissa A Ipser (PROGRAM MANAGER) |
| Authorized Official Contact | 3076328064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Healthcare Clinic 100 Central Ave Suite 100 Cheyenne WY 82007-1330 Ph: (307) 632-8064 | Crossroads Healthcare Clinic 100 Central Ave Ste 100 Cheyenne WY 82007-1330 Ph: (307) 632-8064 |
| NPI Number | 1043436983 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043436983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 20234.0234 (Wyoming) | Primary |
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