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CROSSOVER HEALTH MEDICAL GROUP
NPI 1669234993
Specialist in Merrimack, NH

Active since January 23, 2024CLIA 30D2303630 · Waiver
1 SPARTAN WAY, MERRIMACK, NH 03054(603) 791-5999(603) 578-7054 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crossover Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSOVER HEALTH MEDICAL GROUP (NPI 1669234993) is a healthcare organization registered as a specialist in Merrimack, New Hampshire and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Jenette Hunter, Licensing And Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1669234993
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address1 SPARTAN WAYMerrimack, NH 03054-4300
Mailing Address1 Spartan WayMerrimack, NH 03054-4300 · (603) 791-5999 · Fax (603) 578-7054
Phone(603) 791-5999
Fax(603) 578-7054
Organization SubpartNo
Authorized OfficialJenette HunterLicensing And Credentialing Manager · (971) 500-2661
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1669234993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 SPARTAN WAY, Merrimack, NH 03054
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2303630

Crossover Health Medical Group, Apc · Merrimack, NH
Active · expires Apr 28, 2028
CLIA Number30D2303630
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(603) 791-5999
Laboratory LocationCrossover Health Medical Group, Apc1 Spartan Way, Merrimack, NH 03054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF CONNECTICUT MEDICAL PC
Clinic/Center (Urgent Care)
1 SPARTAN WAY, MAILZONE TS3N
MERRIMACK, NH 03054
Hillsborough County (603) 791-5999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1669234993. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 1 Spartan Way, Merrimack, NH 03054. The listed phone number is (603) 791-5999.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Crossover Health Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2303630) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on January 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.