Crossroads Family Associates #2

LBN: Crossroads Physician Corp
Crossroads Family Associates #2 is an health care organization with primary practice located at 209 Crossroads Pl Suite 150, Mount Vernon IL 62864-6254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crossroads Physician Corp can be contacted via phone (618) 244-6222, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
209 Crossroads Pl Suite 150 Mount Vernon IL 62864-6254
Phone: (618) 244-6222
Fax: (618) 244-7299
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

Profile Details

NPI number 1699769612
LBN Legal business name Crossroads Physician Corp
DBA Doing business as Crossroads Family Associates #2
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2005
Last updated Sep 18th, 2007 - about 17 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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