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NATIONAL HEALTHCARE OF MT VERNON INC NPI 1902143910


NPI Information

NPI: 1902143910
Provider Name: NATIONAL HEALTHCARE OF MT VERNON INC

Doing Business As: CROSSROADS FAMILY MEDICINE OF BENTON

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2266989

Address:
905 W WASHINGTON ST
SUITE A
BENTON, IL
ZIP 62812
Phone: (618) 435-2229
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NATIONAL HEALTHCARE OF MT VERNON INC is an internal medicine in Benton, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NATIONAL HEALTHCARE OF MT VERNON INC NPI is 1902143910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crossroads Family Medicine Of Benton.

The provider's business location address is:

905 W WASHINGTON ST
SUITE A
BENTON, IL
ZIP 62812-649
Phone: (618) 435-2229
Fax: (618) 435-2232

The provider's authorized official is James Wright .
The authorized official title is Sr Director and has the following contact phone number (615) 465-7587.

The CLIA number assigned to this NPI record is 14D2266989 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 3/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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