NPI 1033895628

Cross Trails Medical Center

Organisation Federally Qualified Health Center (FQHC) Cape Girardeau, MO

Practice location

Address: 2430 Golden Street, Cape Girardeau, MO 63703
Phone: (573) 339-1196
Fax: (573) 339-9378
Mailing address: 408 S Broadview St, Cape Girardeau, MO 63703-5725

Authorised official

Name: Sheila Pruitt
Title: Billing Coordinator
Phone: (573) 332-0808

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1033895628
Entity type: Organization
NPI issued: 27 Jun 2023
Record last updated: 27 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.