Organization Active NPI

Crossroads Tempe

  • Clinic/Center
  • Tempe, AZ
National Provider Identifier
1124872981
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CROSSROADS TEMPE
Practice address
2115 E Southern Ave BLDG F
Tempe, AZ 85282-7503
Phone
(602) 263-5242
Fax
(602) 595-4434
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Paul Mills
Title
Claims Supervisor
Phone
(602) 263-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2115 E Southern Ave BLDG F
Tempe, AZ 85282-7503

Mailing address

2002 E Osborn Rd
Phoenix, AZ 85016-7236
Phone (602) 263-5242

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2327232Crossroads 360 Community Care Clinic-Tempe2115 E Southern Ave, Tempe, AZ 85282Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Tempe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2115 E Southern Ave
Bldg F
Tempe, AZ 85282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1124872981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E SOUTHERN AVE BLDG F",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827503",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TEMPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CLAIMS SUPERVISOR",
        "authorized_official_telephone_number": "602-263-5242"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.