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Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Active
Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Active
Other names
Crossroads Family Medicine of Wayne City
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
1209 W ROBINSON ST, WAYNE CITY, IL 62895-9672
(618) 895-2050
(618) 895-2056
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
(615) 469-6505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0003947
IL
Other
Enumeration date
09/19/2012
Last updated
07/07/2023
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