Cross Trails Medical Center

NPI #1225191752 in Advance, Missouri

Provider Information

NPI Number
1225191752
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 18, 2006
Last Updated
Oct 15, 2010

Practice Location

Address
307 GABRIEL ST.
ZIP Code
63730
Phone
(573) 722-3034

Authorized Official

Name
MRS. 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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