| Crossroads Resources, Llc | |
|
104 W 3rd St Chadron NE 69337-2314 | |
| (308) 430-4610 | |
| (308) 747-2147 |
| Full Name | Crossroads Resources, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 104 W 3rd St, Chadron, Nebraska |
| Authorized Official Name and Position | Joan M Yekel (OWNER) |
| Authorized Official Contact | 3084304610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Resources, Llc 104 W. 3rd St P. O. Box 1299 Chadron NE 69337-1299 Ph: (308) 430-4610 | Crossroads Resources, Llc 104 W 3rd St Chadron NE 69337-2314 Ph: (308) 430-4610 |
| NPI Number | 1952553828 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 1658813647 |
|---|---|
| Medicare Enrollment ID | O20240605002629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952553828 | NPI | - | NPPES |
| 1336360684 | Other | NE | NPI FOR AN INDIVIDUAL |
| 10025477200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joan M. Yekel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336360684 PECOS PAC ID: 3476095464 Enrollment ID: I20240605002786 |
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