Provider Demographics
NPI:1669211272
Name:JORDAN CROSSING MINISTRIES
Entity type:Organization
Organization Name:JORDAN CROSSING MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTNIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PAXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-712-9315
Mailing Address - Street 1:1566 HUNTOON ST
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4922
Mailing Address - Country:US
Mailing Address - Phone:530-712-9315
Mailing Address - Fax:530-712-9316
Practice Address - Street 1:1566 HUNTOON ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-4922
Practice Address - Country:US
Practice Address - Phone:530-712-9315
Practice Address - Fax:530-712-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management