1447438486 NPI number — CROSS CREEK MEDICAL PA

Table of content: (NPI 1447438486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447438486 NPI number — CROSS CREEK MEDICAL PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CROSS CREEK MEDICAL PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447438486
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1381A CROSS CREEK CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TALLAHASSEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32301-3729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-877-6393
Provider Business Mailing Address Fax Number:
850-877-6813

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1381 CROSS CREEK CIR
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32301-3723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-877-6393
Provider Business Practice Location Address Fax Number:
850-877-6393
Provider Enumeration Date:
02/01/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SAMPSON
Authorized Official First Name:
WAYNE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
850-877-6393

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  0071014FLME , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 250984900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: DF9814 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 003457000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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