1750891396 NPI number — CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC

Table of content: (NPI 1750891396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750891396 NPI number — CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC
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:
1750891396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 BEATTIE PL STE 810
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29601-2191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-527-3145
Provider Business Mailing Address Fax Number:
864-990-0653

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 LONG POND RD STE 2-3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02360-2663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
774-773-3905
Provider Business Practice Location Address Fax Number:
774-773-9623
Provider Enumeration Date:
10/10/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MCCORMAC
Authorized Official First Name:
RUPERT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
864-527-3145

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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