NATIONAL HEALTHCARE OF MT VERNON INC NPI 1982955712

NPI Information

NPI: 1982955712
Provider Name: NATIONAL HEALTHCARE OF MT VERNON INC

Doing Business As: CROSSROADS FAMILY MEDICINE OF BENTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
905 W WASHINGTON ST STE A
BENTON, IL
ZIP 62812
Phone: (618) 435-2229
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NATIONAL HEALTHCARE OF MT VERNON INC is a rural health clinic center in Benton, IL. NATIONAL HEALTHCARE OF MT VERNON INC NPI is 1982955712. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Family Medicine Of Benton.

The provider's business location address is:

905 W WASHINGTON ST STE A
BENTON, IL
ZIP 62812
Phone: (618) 435-2229

The provider's authorized official is Tara P Richardson .
The authorized official title is Authorized Official and has the following contact phone number (615) 221-3672.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 4/23/2019.

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
1	261QR1300X	Clinic/Center	Rural Health	0003947	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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