Crossroads Urgent Care PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CROSSROADS URGENT CARE PLLC

Doing business as

Urgent Team

Practice address

2395 Lake Rd
Dyersburg, TN 38024-1831

Phone

(731) 882-1958

NPI assigned

Jun 29, 2015

Last updated

Jul 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Mauldin

Title

Cfo

Phone

(615) 988-2005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urgent Team Doing business as

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1720460595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241831",
            "telephone_number": "731-882-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-988-2005"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "44-8949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Cornelison, OTD, OTR/L
• Susan H Cox, DMD
• Brad F Creekmore, FNP
• Patsy Elaine Crihfield, MSN, RN, APRN, BC
• Eddie Lee Crocker, PT
• Crossroads Urgent Care PLLC (Urgent Team)
• Emily Rose Crum
• Kerri B Cunningham
• Da Dove Transportation LLC
• Daniel Green MD (Lake County Internal Medicine Clinic)

• Rural Health Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.