| Crossroads Family Medicine Of Mt Vernon | |
|
209 Crossroads Pl Suite 120 Mount Vernon IL 62864-6545 | |
| (618) 244-6222 | |
| (618) 244-7299 |
| Full Name | Crossroads Family Medicine Of Mt Vernon |
|---|---|
| Speciality | Family Medicine |
| Location | 209 Crossroads Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | James Wright (SR DIRECTOR) |
| Authorized Official Contact | 6154657587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Medicine Of Mt Vernon Po Box 689022 Franklin TN 37068-9022 Ph: (800) 709-7338 | Crossroads Family Medicine Of Mt Vernon 209 Crossroads Pl Suite 120 Mount Vernon IL 62864-6545 Ph: (618) 244-6222 |
| NPI Number | 1619214624 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 5698780195 |
|---|---|
| Medicare Enrollment ID | O20210223000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619214624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
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