Crossover Health Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

4399 S Columbia Rd Ste 102
Grand Forks, ND 58201-2833

Phone

(971) 500-2661

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenette Hunter

Title

Licensing and Credentialing Manager

Phone

(971) 500-2661

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Crossover Health Medical Group

  • Specialist
  • Minot, ND
  • NPI 1144058918
  NPD tax ID
• Crossover Health Medical Group

  • Specialist
  • West Fargo, ND
  • NPI 1861207961
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1982432753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 S COLUMBIA RD STE 102",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582012833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 S COLUMBIA RD STE 102",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582012833",
            "telephone_number": "971-500-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "LICENSING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "971-500-2661"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Rene Coval
• Cheryl A Cox
• Guadalupe Crawford, LAC
• John Crist, RD/LD
• Samuel W Criswell, DPM
• Summer Crow
• Cheryl Cruikshank, PMHNP
• Rachel Marie Cummings, DDS
• Jessica Maria Cunniff Darcy, APRN, PMHNP-BC
• Shawn Cunningham, RN

• All providers in Grand Forks, ND
• Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.