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Organization

DEACONESS ILLINOIS CROSSROADS INC

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
Authorized official
AMBER LIPE (CFO)
(618) 998-7020
Entity
Organization

Contact information

Practice address
1209 W ROBINSON ST, WAYNE CITY, IL 62895-9672
(618) 895-2050
(618) 895-2056
Mailing address
PO BOX 34142, BELFAST, ME 04915-0619
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
10/24/2022
Last updated
08/07/2024
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