Crossroads Physician Corp

LBN: Crossroads Physician Corp
Crossroads Physician Corp is an health care organization with primary practice located at 209 Crossroads Pl Suite 140, Mount Vernon IL 62864-6545. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Crossroads Physician Corp can be contacted via phone (618) 241-7207, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
209 Crossroads Pl Suite 140 Mount Vernon IL 62864-6545
Phone: (618) 241-7207
Fax: (618) 241-7210
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Illinois

Profile Details

NPI number 1194980516
LBN Legal business name Crossroads Physician Corp
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 28th, 2008 - about 16 years ago

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.

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