Crossroads Family Medicine Of Wayne City

LBN: Crossroads Physician Corp
Crossroads Family Medicine Of Wayne City is an health care organization with primary practice located at 1209 W Robinson St , Wayne City IL 62895-9672. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Crossroads Physician Corp can be contacted via phone (618) 895-2050, or through Arwood, Sophia via phone (615) 628-6038.

Contact Information

Primary practice address
1209 W Robinson St Wayne City IL 62895-9672
Phone: (618) 895-2050
Fax: (618) 895-2056
Website:
Map and Directions
Authorized official contact:
Name: Arwood, Sophia
Phone: (615) 628-6038

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1972597060
LBN Legal business name Crossroads Physician Corp
DBA Doing business as Crossroads Family Medicine Of Wayne City
Authorized official Arwood, Sophia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2005
Last updated Sep 19th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972597060 NPPES
Illinois MEDICAID 036041176

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