# CROSSOVER HEALTH MEDICAL GROUP

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

## Provider details

- **NPI number:** 1982432753
- **Authorized official:** JENETTE HUNTER (LICENSING AND CREDENTIALING MANAGER)
- **Authorized official phone:** (971) 500-2661

## Contact information

- **Practice address:** 4399 S COLUMBIA RD STE 102, GRAND FORKS, ND 58201-2833
- **Practice address phone:** (971) 500-2661
- **Mailing address:** 4399 S COLUMBIA RD STE 102, GRAND FORKS, ND 58201-2833

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024