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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