Organization · Type 2 NPI

Crossroads Physician Corp

Rural Health Clinic/Center · Mount Vernon, IL

NPI number 1669466686 Active

Practice location

3505 Broadway St
Mount Vernon, IL 62864-2202

Call (618) 241-8772 Map

Fax (618) 241-8775

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Anderson Family PracticePrimary Care Clinic/Center Mount Vernon, IL NPI 1023235348
John Hall, M.d., P.c.Adult Medicine Physician Mount Vernon, IL NPI 1558473645
Mt. Vernon Chiropractic Clinic, PLLCChiropractor Mount Vernon, IL NPI 1639019169

Other rural health clinic/center providers in Mount Vernon

See all in Mount Vernon →

NPI record

NPI: 1669466686
Entity type: Organization (Type 2)
Issued: Sep 6, 2005
Last updated: Aug 10, 2011
Status: Active
Subpart: Yes of Crossroads Physician Corp

Other names

<unavail>
Crossroads Family Medicine of MT Vernon · doing business as

Authorized official

Debbie Brewer
Director of Provider Enrollment
(615) 465-7626

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1669466686

Crossroads Physician Corp's National Provider Identifier is 1669466686, issued on Sep 6, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mount Vernon, IL. The record was last updated on Aug 10, 2011.