| National Healthcare Of Mt Vernon Inc | |
|
205 Bailey Ln Ste F Benton IL 62812-1921 | |
| (618) 882-4200 | |
| (618) 882-4208 |
| Full Name | National Healthcare Of Mt Vernon Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 205 Bailey Ln Ste F, Benton, Illinois |
| Authorized Official Name and Position | Randy Michael Cooper (SVP FINANCE OP) |
| Authorized Official Contact | 6152213840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Healthcare Of Mt Vernon Inc Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-3722 | National Healthcare Of Mt Vernon Inc 205 Bailey Ln Ste F Benton IL 62812-1921 Ph: (618) 882-4200 |
| NPI Number | 1619602604 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619602604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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