Organization
CROSSOVER HEALTH SERVICES INC
Active
Organization
CROSSOVER HEALTH SERVICES INC
Active
Other names
CROSSOVER COMMUNITY IMPACT, INC, Crossover Health Services, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARMIEN CHARNISETTE WATKINS (CFO)
(918) 398-9460
Entity
Organization
Contact information
Practice address
940 E 36TH ST N, TULSA, OK 74106-1953
(918) 398-9460
(918) 398-9460
Mailing address
940 E 36TH ST N, TULSA, OK 74106-1953
(918) 398-9460
(918) 398-9460
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
14202
OK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089530C
—
OK
05
—
200514040A
—
OK
Enumeration date
07/12/2013
Last updated
03/26/2025
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