Susan Cross, CMP

Individual provider Active NPI Case Manager/Care Coordinator · Ash Flat, AR

NPI 1740498641 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740498641
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
44 Martin LN
Ash Flat, AR 72513-9749
Phone
(870) 994-2848
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Communities, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

44 Martin LN
Ash Flat, AR 72513-9749

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Ash Flat, AR

All providers in Ash Flat, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.