| Crossroads Treatment Center Of Somerset | |
|
607 Clifty St Somerset KY 42503-1765 | |
| (606) 485-4730 | |
| (606) 485-4733 |
| Full Name | Crossroads Treatment Center Of Somerset |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 Clifty St, Somerset, Kentucky |
| Authorized Official Name and Position | Rupert Mccormac (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8008056989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment Center Of Somerset Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Somerset 607 Clifty St Somerset KY 42503-1765 Ph: (606) 485-4730 |
| NPI Number | 1417452798 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 4880022565 |
|---|---|
| Medicare Enrollment ID | O20200311000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417452798 | NPI | - | NPPES |
| 810587 | Other | KY | STATE LICENSE |
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