Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Active
Other names
Crossroads Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP)
(615) 221-3840
Entity
Organization
Contact information
Practice address
205 BAILEY LN STE F, BENTON, IL 62812-1921
(618) 882-4200
(618) 882-4208
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-3722
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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