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Contact Information

CROSSOVER HEALTH MEDICAL GROUP
8000 S FEDERAL WAY # MS 1-706
BOISE, ID83716-9632
 Phone: 949-891-0328
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CROSSOVER HEALTH MEDICAL GROUP

NPI Number 1831606045
LBN Legal business name CROSSOVER HEALTH MEDICAL GROUP
Authorized official ANGIE SAKIOKA - (ADMINISTRATION)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/09/2018
Last updated 01/09/2018 - About 8 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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