# NATIONAL HEALTHCARE OF MT VERNON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750353041
- **Authorized official:** RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO)
- **Authorized official phone:** (615) 221-3840

## Contact information

- **Practice address:** 8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
- **Practice address phone:** (618) 244-5500
- **Practice address fax:** (618) 244-5566
- **Mailing address:** PO BOX 60548, SAINT LOUIS, MO 63160-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0003947 | IL | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 09/03/2020