Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Active
Parent organization
NATIONAL HEALTHCARE OF MT VERNON INC
Other names
Crossroads Community Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL HEALTHCARE OF MT VERNON INC
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 244-5500
(618) 244-5566
Mailing address
PO BOX 60548, SAINT LOUIS, MO 63160-0548
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0003947
IL
Other
Enumeration date
02/02/2006
Last updated
08/11/2020
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