NPIMap

Organization Active NPI

Crossroads Health Clinic, P.a.

  • Rural Health Clinic/Center
  • Corinth, MS
National Provider Identifier
1932139169
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
258980 Issued in MS
Legal business name
CROSSROADS HEALTH CLINIC, P.A.
Practice address
1801 S Harper Rd Ste 7
Corinth, MS 38834-6726
Phone
(662) 286-2300
Fax
(662) 286-7010
NPI assigned
Jul 4, 2006
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mrs. Debora McFalls, CFNPNPI 1386679579
Title
President
Phone
(662) 286-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 258980 MS Primary

Addresses

Primary practice location

1801 S Harper Rd Ste 7
Corinth, MS 38834-6726

Mailing address

1801 S Harper Rd Ste 7
Corinth, MS 38834-6726
Phone (662) 286-2300

Other identifiers 3

IdentifierTypeStateIssuer
00656871MedicaidMS
R582662OtherMSNURSE LICENSE #
0121943MedicaidMS

National Provider Directory

National Provider Directory

Locations

1801 S Harper Rd
Ste 7
Corinth, MS 38834
Phone (662) 286-2300

2601 Getwell Rd
Ste 3
Corinth, MS 38834
Phone (662) 286-2300

121 Pratt Dr
#B
Corinth, MS 38834
Phone (662) 286-2300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1932139169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S HARPER RD STE 7",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346726",
            "telephone_number": "662-286-2300",
            "fax_number": "662-286-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S HARPER RD STE 7",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346726",
            "telephone_number": "662-286-2300",
            "fax_number": "662-286-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTH CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "MCFALLS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-286-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "258980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00656871",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE #",
            "identifier": "R582662",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121943",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.