Crossover Health Services

LBN: Crossover Community Impact, Inc.
Crossover Health Services is an health care organization with primary practice located at 5635 N Martin Luther King Jr Blvd , Tulsa OK 74126-6409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Crossover Community Impact, Inc. can be contacted via phone (918) 398-9460, or through Hendricks, Janet Neal via phone (770) 330-9645.

Contact Information

Primary practice address
5635 N Martin Luther King Jr Blvd Tulsa OK 74126-6409
Phone: (918) 398-9460
Fax: (918) 992-2822
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Janet Neal
Phone: (770) 330-9645

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1942958111
LBN Legal business name Crossover Community Impact, Inc.
DBA Doing business as Crossover Health Services
Authorized official Hendricks, Janet Neal
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942958111 NPPES
Oklahoma MEDICAID 200514040B

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