| Crossroads Physician Corporation | |
|
1245 S Mill St Nashville IL 62263-2004 | |
| (618) 327-9333 | |
| (618) 327-9022 |
| Full Name | Crossroads Physician Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1245 S Mill St, Nashville, Illinois |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Physician Corporation 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: () - | Crossroads Physician Corporation 1245 S Mill St Nashville IL 62263-2004 Ph: (618) 327-9333 |
| NPI Number | 1629063698 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629063698 | NPI | - | NPPES |
| 036052179 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 363A00000X | Physician Assistant | (Illinois) | Secondary |
Washington County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 S Mill St, Nashville, IL 62263 Phone: 618-327-2273 Fax: 618-327-2664 | |
Washington County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 S Grand Avenue, Nashville, IL 62263 Phone: 618-327-2225 Fax: 618-327-2229 | |
Washington County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1245 S Mill St, Nashville, IL 62263 Phone: 618-327-2273 Fax: 618-327-2664 | |
Pc Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 S Mill St # 231, Nashville, IL 62263 Phone: 618-327-8119 Fax: 618-327-8141 | |
Washington County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 177 S Washington St, Nashville, IL 62263 Phone: 618-327-3644 Fax: 618-327-4229 |