Deaconess Illinois Rural Health Clinic Mt. Vernon
LBN: Deaconess Illinois Crossroads Inc
Deaconess Illinois Rural Health Clinic Mt. Vernon is an health care organization with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Deaconess Illinois Crossroads Inc can be contacted via phone (618) 244-4313, or through Lipe, Amber via phone (618) 998-7020.
Contact Information
Primary practice address
4101 N Water Tower Pl
Mount Vernon IL 62864-6296
Phone: (618) 244-4313
Fax: (618) 246-1247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1316663602 |
|---|---|
| LBN Legal business name | Deaconess Illinois Crossroads Inc |
| DBA Doing business as | Deaconess Illinois Rural Health Clinic Mt. Vernon |
| Authorized official | Lipe, Amber |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2022 |
| Last updated | Jan 5th, 2024 - about 2 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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