Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Active
Other names
Crossroads Family Medicine of Benton
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
905 W WASHINGTON ST STE A, BENTON, IL 62812
(618) 435-2229
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(800) 709-7338
(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
04/23/2019
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