Cross Trails Medical Center
NPI #1215368402 in Perryville, Missouri
Provider Information
- NPI Number
- 1215368402
- Entity Type
- Organization
- Organization Name
- Cross Trails Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CROSS TRAILS MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 12, 2013
- Last Updated
- Dec 12, 2013
Practice Location
- Address
- 1314 BRENDA AVE
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-2624
- Phone
- (573) 332-0808
Authorized Official
- Name
- MONA WELLS
- Title
- CFO
- Phone
- (573) 339-1196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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