# DEACONESS ILLINOIS CROSSROADS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Internal Medicine, Deaconess Illinois Crossroads Family Clinic Mt. Vernon, Deaconess Illinois Rural Health Clinic Mt. Vernon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316663602
- **Authorized official:** JASON HINKLE (CFO)
- **Authorized official phone:** (865) 599-4770

## Contact information

- **Practice address:** 4101 N WATER TOWER PL, MOUNT VERNON, IL 62864-6296
- **Practice address phone:** (618) 244-4313
- **Practice address fax:** (618) 246-1247
- **Mailing address:** PO BOX 631956, CINCINNATI, OH 45263-1956
- **Mailing address phone:** (812) 450-6815
- **Mailing address fax:** (812) 450-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 02/13/2026