Provider Demographics
NPI:1851674121
Name:THE CROSS-OVER MINISTRY INC.
Entity Type:Organization
Organization Name:THE CROSS-OVER MINISTRY INC.
Other - Org Name:CROSSOVER HEALTHCARE MINISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BILODEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:804-426-7710
Mailing Address - Street 1:8600 QUIOCCASIN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5514
Mailing Address - Country:US
Mailing Address - Phone:804-426-7710
Mailing Address - Fax:804-422-2604
Practice Address - Street 1:8600 QUIOCCASIN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5514
Practice Address - Country:US
Practice Address - Phone:804-426-7710
Practice Address - Fax:804-422-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
VA01010043345261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty