CROSSROADS MENTAL HEALTH (CAROLINAEAST MEDICAL CENTER) NPI 1609833201

Psychiatric Unit in New Bern, NC

NPI 1609833201 Organization Psychiatric Unit Medicare Supplier Accepts Medicare Approved Payment

About CROSSROADS MENTAL HEALTH (CAROLINAEAST MEDICAL CENTER)

Crossroads Mental Health (carolinaeast Medical Center) is a provider established in New Bern, North Carolina specializing in psychiatric unit. The NPI number of Crossroads Mental Health (carolinaeast Medical Center) is 1609833201 and was assigned on April 2006. The practitioner's primary taxonomy code is 273R00000X with license number H0201 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Crossroads Mental Health. The authorized official of this NPI record is Mrs. Tammy M. Sherron (Cfo, Vp Finance)

Crossroads Mental Health is a medicare supplier with PTAN 0177560002 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Custom Fabricated or Limb Prostheses.

NPI

1609833201

Provider NameCROSSROADS MENTAL HEALTH (CAROLINAEAST MEDICAL CENTER)
Provider Location Address2000 NEUSE BLVD NEW BERN, NC 28560
Provider Mailing Address2000 NEUSE BLVD NEW BERN, NC 28560
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCROSSROADS MENTAL HEALTH
Other Name TypeDoing Business As (3)
Enumeration Date04-27-2006
Last Update Date10-11-2010


Primary Taxonomy

Taxonomy Code273R00000X
ClassificationPsychiatric Unit
TypeHospital Units
License No.H0201
License StateNC
Taxonomy DescriptionIn general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Business Address

CROSSROADS MENTAL HEALTH
2000 NEUSE BLVD
NEW BERN, NC
ZIP 28560
Phone: (252) 633-8640
Fax: (252) 636-5376

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Mailing Address

CROSSROADS MENTAL HEALTH
2000 NEUSE BLVD
NEW BERN, NC
ZIP 28560
Phone: (252) 633-8640
Fax: (252) 636-5376



Authorized Official

Authorized Official NameMRS. TAMMY M. SHERRON
Authorized Official TitleCFO, VP FINANCE
Authorized Official Phone(252) 633-8880

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0177560002
Accepts Medicare AssignmentYES
Specialities ListOrthotic Personnel, Prosthetic Personnel, Hospital.
Supplies List
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
Competitive BiddingNO

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========-005OTHER (01)NC
00133OTHER (01)NC
34S131MEDICARE OSCAR/CERTIFICATION (06)NC
3400131SMEDICAID (05)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265425391 KAI MIAO MD
Individual
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8000
1245223197 MILLARD F BANKER IV MD
Individual
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8000
1043285349DR. ROBERT BARTHOLOMEW NEWELL JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-7298
1376519512CRAVEN PATHOLOGY ASSOCIATES INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1932175163DR. KEITH WILKINSON BENNERT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1750357778DR. RICHARD MAYHEW WARD MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1780641373CAROLINAEAST MEDICAL CENTER
Organization
Rehabilitation Unit2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1659326643MRS. VAUGHNA BRINSON GALVIN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1598704009COASTAL CAROLINA HEALTH CARE PA
Organization
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 514-2061
1154362960MRS. LOREEN ELIZABETH AIKEN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1629012158MR. STEPHEN R DURCI CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1962446518 CYNTHIA M BOJONELL CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1285679472 MICHELLE KAY BAULCH OTR/L, CHT, CFCE
Individual
Occupational Therapist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8020
1962448027CAROLINAEAST MEDICAL CENTER
Organization
Specialist/Technologist Cardiovascular2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1710923875CAROLINAEAST MEDICAL CENTER
Organization
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1427084680CAROLINAEAST MEDICAL CENTER
Organization
Prosthetic/Orthotic Supplier2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1326074980 THEA M IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1306875760MR. MICHAEL IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1477583615DR. RONALD B MAY M.D.
Individual
Pediatrics2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8045
1104856988 REBECCA E MARSON CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.