# DEACONESS ILLINOIS CROSSROADS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Illinois Rural Health Clinic Wayne City, Deaconess Illinois Crossroads Family Clinic Wayne City, Crossroads Family Medicine of Wayne City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528785284
- **Authorized official:** AMBER LIPE (CFO)
- **Authorized official phone:** (618) 998-7020

## Contact information

- **Practice address:** 1209 W ROBINSON ST, WAYNE CITY, IL 62895-9672
- **Practice address phone:** (618) 895-2050
- **Practice address fax:** (618) 895-2056
- **Mailing address:** PO BOX 34142, BELFAST, ME 04915-0619
- **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:** 10/24/2022
- **Last updated:** 08/07/2024