CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
NPI 1104581040
Clinic/Center in Memphis, TN

NPI Status: Active since November 05, 2021

Contact Information

2605 S NONCONNAH BLVD
MEMPHIS, TN
ZIP 38132
Phone: (800) 805-6989

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  • Organization
  • Clinic/Center

About CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC

This page provides the complete NPI Profile along with additional information for Crossroads Treatment Centers Of Tennessee, Pc, a provider established in Memphis, Tennessee operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104581040 assigned on November 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Crossroads Treatment Centers Of Tennessee, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rupert Mccormac Iv Md (President)

NPI
1104581040
Provider Name
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Entity Type
Organization
Location Address
2605 S NONCONNAH BLVD MEMPHIS, TN 38132
Location Phone
(800) 805-6989
Mailing Address
200 E BROAD ST STE 300 GREENVILLE, SC 29601
Mailing Phone
(800) 805-6989
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2021
Last Update Date
11-05-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
3261QM3000XAmbulatory Health Care Facilities

Clinic/Center
Medically Fragile Infants and Children Day Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUPERT MCCORMAC IV MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(800) 805-6989

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104581040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104108208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 0 + 8 + 2 + 0 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104581040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104581040, enumerated in the NPI registry as an "organization" on November 05, 2021

The provider is located at 2605 S Nonconnah Blvd Memphis, Tn 38132 and the phone number is (800) 805-6989

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on November 05, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.