CROSS TRAILS MEDICAL CENTER
NPI 1215368402
Clinic/Center - Federally Qualified Health Center (FQHC) in Perryville, MO

Active since December 12, 2013CLIA 26D2072394 · Certificate of Compliance
1314 BRENDA AVE, PERRYVILLE, MO 63775(573) 332-0808(573) 339-7945 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cross Trails Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSS TRAILS MEDICAL CENTER (NPI 1215368402) is a healthcare organization registered as a federally qualified health center (fqhc) in Perryville, Missouri and active in the NPI registry since December 2013. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2026 and lists Mona Wells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215368402
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCROSS TRAILS MEDICAL CENTER
Location Address1314 BRENDA AVEPerryville, MO 63775-2624
Mailing Address1314 Brenda AvePerryville, MO 63775-2624 · (573) 332-0808 · Fax (573) 339-7945
Fax(573) 339-7945
Organization SubpartYes
Authorized OfficialMona WellsCfo · (573) 339-1196
Enumeration DateDecember 12, 2013
NPI 1215368402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1314 BRENDA AVE, Perryville, MO 63775

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2072394

Cross Trails Medical Center · Perryville, MO
Active · expires Nov 12, 2026
CLIA Number26D2072394
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorCurtis L. Jansen
Laboratory Phone(573) 517-0405
Laboratory LocationCross Trails Medical Center1314 Brenda Ave, Perryville, MO 63775
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1314 BRENDA AVE
PERRYVILLE, MO 63775
Dental Hygienist
1314 BRENDA AVE
PERRYVILLE, MO 63775
Nurse Practitioner (Family)
1314 BRENDA AVE
PERRYVILLE, MO 63775
Dentist (General Practice)
1314 BRENDA AVE
PERRYVILLE, MO 63775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cross Trails Medical Center's NPI number?

The NPI number for Cross Trails Medical Center is 1215368402. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Cross Trails Medical Center located?

Cross Trails Medical Center is located at 1314 Brenda Ave, Perryville, MO 63775. The listed phone number is (573) 332-0808.

What is Cross Trails Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Cross Trails Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2072394) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cross Trails Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Cross Trails Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cross Trails Medical Center was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.