Crossroads Internal Medicine #1

LBN: Crossroads Physician Corp
Crossroads Internal Medicine #1 is an health care organization with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Crossroads Physician Corp can be contacted via phone (618) 244-4313, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
4101 N Water Tower Pl Mount Vernon IL 62864-6296
Phone: (618) 244-4313
Fax: (618) 244-9592
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (615) 465-7626

Health care specialties

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

Profile Details

NPI number 1790779874
LBN Legal business name Crossroads Physician Corp
DBA Doing business as Crossroads Internal Medicine #1
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2005
Last updated Oct 30th, 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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