<Unavail>
LBN: Crossroads Physician Corp
<Unavail> is an health care organization with primary practice located at 1209 W Robinson St , Wayne City IL 62895-9672. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Crossroads Physician Corp can be contacted via phone (618) 895-2050, or through Arwood, Sophia via phone (615) 628-6038.
Contact Information
Primary practice address
1209 W Robinson St
Wayne City IL 62895-9672
Phone: (618) 895-2050
Fax: (618) 895-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Illinois |
Profile Details
| NPI number | 1972597060 |
|---|---|
| LBN Legal business name | Crossroads Physician Corp |
| DBA Doing business as | <Unavail> |
| Authorized official | Arwood, Sophia |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Sep 19th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972597060 | NPPES |
| Illinois | MEDICAID | 036041176 |
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