Crossroads Treatment Centers Of Tennessee, PC
Clinic/Center in Hermitage, TN. Organization (NPI-2).
NPI number1801550421
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1801550421
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Treatment Centers Of Tennessee, PC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Crossroads Treatment Center Hermitage (Doing Business As)
Practice location
5045 Old Hickory Blvd Ste 101Hermitage, TN 37076-2581
Phone 800-805-6989
Mailing address
200 E Broad St Ste 300Greenville, SC 29601-2891
Phone 800-805-6989
Authorized official
Rupert James McCormac
President
8645273145
Is something wrong?
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