Provider Demographics
NPI:1588219729
Name:CROSSINGS CLINIC LLC
Entity Type:Organization
Organization Name:CROSSINGS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-458-7476
Mailing Address - Street 1:5520 E HIGHWAY 62
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-8735
Mailing Address - Country:US
Mailing Address - Phone:812-941-9000
Mailing Address - Fax:
Practice Address - Street 1:5520 E HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8735
Practice Address - Country:US
Practice Address - Phone:812-941-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROSSINGS CLINIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1871971887OtherNPPES