# CROSSOVER HEALTH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861207961
- **Authorized official:** JENETTE HUNTER CPCS (SR. CREDENTIALING AND LICENSING)
- **Authorized official phone:** (971) 500-2661

## Contact information

- **Practice address:** 726 13TH AVE E, WEST FARGO, ND 58078-3304
- **Practice address phone:** (844) 398-3640
- **Mailing address:** 726 13TH AVE E, WEST FARGO, ND 58078-3304
- **Mailing address phone:** (844) 398-3640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2025
- **Last updated:** 02/07/2025