Crossroads Physicians Corp

LBN: Crossroads Physicians Corp
Crossroads Physicians Corp is an health care organization with primary practice located at 209 Crossroads Pl Suite 110, Mount Vernon IL 62864-6254. The organization recently has 7 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Crossroads Physicians Corp can be contacted via phone (618) 244-6710, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
209 Crossroads Pl Suite 110 Mount Vernon IL 62864-6254
Fax: (618) 244-6779
Website:
Authorized official contact:
Name: Brewer, Debbie T

Profile Details

NPI number 1508850520
LBN Legal business name Crossroads Physicians Corp
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 25th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508850520 NPPES
Illinois MEDICAID 036064567
Illinois Other 4132020

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