Crossroads Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CROSSROADS SERVICES

Practice address

2001 Broadway Ave
Great Bend, KS 67530-4011

Phone

(620) 617-1867

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By 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

Mrs. Christina Renee Smith

Title

Case Manager Administrator

Phone

(620) 617-1867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1790925717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304011",
            "telephone_number": "620-617-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CASE MANAGER ADMINISTRATOR",
        "authorized_official_telephone_number": "620-617-1867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Case Manager/Care Coordinator in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.