Healthcare Provider Details

I. General information

NPI: 1942958111
Provider Name (Legal Business Name): CROSSOVER HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5635 N MARTIN LUTHER KING JR BLVD
TULSA OK
74126-6409
US

IV. Provider business mailing address

940 E 36TH ST N
TULSA OK
74106-1953
US

V. Phone/Fax

Practice location:
  • Phone: 918-398-9460
  • Fax: 918-992-2822
Mailing address:
  • Phone: 918-398-9460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHARMIEN WATKINS
Title or Position: CFO
Credential:
Phone: 918-398-9460