Provider Demographics
NPI:1902923675
Name:CROSBYTON CLINIC HOSPITAL ER GROUP
Entity Type:Organization
Organization Name:CROSBYTON CLINIC HOSPITAL ER GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:806-675-2382
Mailing Address - Street 1:710 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSBYTON
Mailing Address - State:TX
Mailing Address - Zip Code:79322-2143
Mailing Address - Country:US
Mailing Address - Phone:806-675-2382
Mailing Address - Fax:806-675-2645
Practice Address - Street 1:710 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSBYTON
Practice Address - State:TX
Practice Address - Zip Code:79322-2143
Practice Address - Country:US
Practice Address - Phone:806-675-2382
Practice Address - Fax:806-675-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K60DOtherEMERGENCY ROOM GROUP