MEDICARE: CROSSOVER HEALTH MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	193200000X	OTHER		NONMEDICARE

General Provider Information

NPI Number	:	1629931886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSOVER HEALTH MEDICAL GROUP

Provider Business Mailing Address
First Line	:	9350 S 150 E STE 101
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2702
Country	:	US
Telephone Number	:	971-500-2661
Fax Number	:

Provider Business Practice Location Address
First Line	:	9350 S 150 E STE 101
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2702
Country	:	US
Telephone Number	:	971-500-2661
Fax Number	:

Authorized Official
Title or Position	:	SR. MANAGER OF CREDENTIALING
Name	:	MRS. JENETTE HUNTER
Credential	:	CPCS
Telephone Number	:	971-500-2661

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

Similar Medicare Providers

1528063575 — GREGORY J GARDNER
Practice Location Address:

9350 S 150 E , #460
SANDY, UT
84070-2702

Practice Phone: 801-255-4999
Practice Fax: 801-748-1865

1942330352 — GARDNER KELLY REHABILITATION
Practice Location Address:

9350 S 150 E # 460
SANDY, UT
84070-2702

Practice Phone: 801-255-4999
Practice Fax: 801-748-1865

1720475650 — CENTER FOR FACIAL APPEARANCES, INC.
Practice Location Address:

9350 S 150 E , SUITE 400
SANDY, UT
84070-2702

Practice Phone: 801-997-9999
Practice Fax: 801-561-0076

1972133783 — ASPIRE365
Practice Location Address:

9350 S 150 E STE 655
SANDY, UT
84070-2702

Practice Phone: 385-352-9696
Practice Fax: 385-399-9070

1003748658 — DOMINIQUE FAITH GARAY RN
Practice Location Address:

9980 S 300 W STE 150
SANDY, UT
84070-3651

Practice Phone: 801-999-4860
Practice Fax:

1285564773 — NOEMI GUADALUPE HERNANDEZ
Practice Location Address:

9085 S 570 E
SANDY, UT
84070-6218

Practice Phone: 307-679-6487
Practice Fax:

Directions to “CROSSOVER HEALTH MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.