| Deaconess Illinois Crossroads Family Clinic Mt. Vernon | |
|
4101 N Water Tower Pl Mount Vernon IL 62864-6296 | |
| (618) 244-4313 | |
| (618) 246-1247 |
| Full Name | Deaconess Illinois Crossroads Family Clinic Mt. Vernon |
|---|---|
| Speciality | Clinic/Center |
| Location | 4101 N Water Tower Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Amber Lipe (CFO) |
| Authorized Official Contact | 6189987020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Illinois Crossroads Family Clinic Mt. Vernon Po Box 34142 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Illinois Crossroads Family Clinic Mt. Vernon 4101 N Water Tower Pl Mount Vernon IL 62864-6296 Ph: (618) 244-4313 |
| NPI Number | 1316663602 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0143692178 |
|---|---|
| Medicare Enrollment ID | O20230308000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316663602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Deaconess Il Specialty 4117 Water Tower Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl Ste C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Anderson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-7788 Fax: 618-244-9330 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 812-450-6815 | |
Deaconess Illinois Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
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King City Physician Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
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