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Crossover Community Impact, Inc.
Medical Specialty Clinic/Center in Tulsa, Oklahoma
NPI 1942958111

Crossover Community Impact, Inc. is a Medical Specialty Clinic/Center based in Tulsa, OK and is specialized in Medical Specialty. Crossover Community Impact, Inc. practices in Tulsa, OK. The NPI Number for Crossover Community Impact, Inc. is 1942958111 and holds a License No. (Oklahoma).

The current practice location address for Crossover Community Impact, Inc. is 5635 N Martin Luther King Jr Blvd, Tulsa, OK and can be reached out via phone at 918-398-9460 and via fax at 918-992-2822.

Location: 5635 N Martin Luther King Jr Blvd, Tulsa, OK, 74106-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942958111
Provider Name
Crossover Community Impact, Inc.
Credential
Provider Entity Type
Organization
Address
5635 N Martin Luther King Jr Blvd, Tulsa, OK, 74106-1953
Phone Number
918-398-9460
Fax Number
918-992-2822
Provider Enumeration Date
03/16/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200514040B 05 OK
institution
Provider Business Practice Location Address Details
Address
5635 N Martin Luther King Jr Blvd
City
Tulsa
State
Oklahoma
Zip
74126-6409
Phone Number
918-398-9460
Fax Number
918-992-2822
person
Provider Business Mailing Address Details
Address
5635 N Martin Luther King Jr Blvd
City
Tulsa
State
Oklahoma
Zip
74126-6409
Phone Number
918-398-9460
Fax Number
918-992-2822
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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