Crossroads Internal Medicine #3

LBN: Crossroads Physician Corp
Crossroads Internal Medicine #3 is an health care organization with primary practice located at 1 Doctors Park Rd Suite C, Mount Vernon IL 62864-6251. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Crossroads Physician Corp can be contacted via phone (618) 242-1397, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
1 Doctors Park Rd Suite C Mount Vernon IL 62864-6251
Phone: (618) 242-1397
Fax: (618) 242-9002
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1679637789
LBN Legal business name Crossroads Physician Corp
DBA Doing business as Crossroads Internal Medicine #3
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2006
Last updated Oct 30th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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