# NATIONAL HEALTHCARE OF MT VERNON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Family Medicine of Wayne City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932450772
- **Authorized official:** LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
- **Authorized official phone:** (615) 221-3641

## 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:** 1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
- **Mailing address phone:** (152) 221-1400
- **Mailing address fax:** (615) 469-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0003947 | IL | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 07/07/2023