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Contact Information

CROSSOVER
9779 MALLARD GLEN DRIVE
CHARLOTTE, NC28262-1115
 Phone: 704-201-6116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CROSSOVER

NPI # 1447431655
LBN Legal business name CROSSOVER
Authorized official COREY BAKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2007
Last updated 11/15/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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