Deaconess Illinois Rural Health Clinic Mt. Vernon

LBN: Deaconess Illinois Crossroads Inc
Deaconess Illinois Rural Health Clinic Mt. Vernon is an health care organization with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Deaconess Illinois Crossroads Inc can be contacted via phone (618) 244-4313, or through Lipe, Amber via phone (618) 998-7020.

Contact Information

Primary practice address
4101 N Water Tower Pl Mount Vernon IL 62864-6296
Fax: (618) 246-1247
Website:
Authorized official contact:
Name: Lipe, Amber

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1316663602
LBN Legal business name Deaconess Illinois Crossroads Inc
DBA Doing business as Deaconess Illinois Rural Health Clinic Mt. Vernon
Authorized official Lipe, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2022
Last updated Jan 5th, 2024 - about last year

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.

Request for update

Popular Providers