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NPI Code Detail

MEDICARE: CROSSROADS REGIONAL HOSPITAL, LLC

MEDICARE: CROSSROADS REGIONAL HOSPITAL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1104252030
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS REGIONAL HOSPITAL, LLC
Provider Business Mailing Address
First Line : 4020 ASPEN GROVE DR STE 900
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-3134
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 44 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3960
Country : US
Telephone Number : 318-445-5111
Fax Number :
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN P. FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 09/24/2013
Last Update Date : 12/30/2025

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