1669466686 CROSSROADS PHYSICIAN CORP

Rural Health Clinic/Center

Active

Basic Information

Organization Name
CROSSROADS PHYSICIAN CORP
Enumeration Date
September 6, 2005
Last Update
August 10, 2011
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626

Practice Location

Address
3505 BROADWAY ST
MOUNT VERNON, IL 628642202
Phone
(618) 241-8772
Fax
(618) 241-8775

Mailing Address

Address
PO BOX 689022
FRANKLIN, TN 370689022
Phone
(615) 465-7626

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rural Health Clinic/Center
Rural Health
 261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
036041176 05 IL N/A

Frequently Asked Questions

What is CROSSROADS PHYSICIAN CORP's NPI number?
CROSSROADS PHYSICIAN CORP's NPI number is 1669466686.
Which doctor has NPI number 1669466686?
The doctor with NPI number 1669466686 is CROSSROADS PHYSICIAN CORP.
What is CROSSROADS PHYSICIAN CORP's practice address?
CROSSROADS PHYSICIAN CORP's practice address is 3505 BROADWAY ST, MOUNT VERNON, IL, 628642202.
Which doctor practices at 3505 BROADWAY ST, MOUNT VERNON, IL, 628642202?
CROSSROADS PHYSICIAN CORP practices at 3505 BROADWAY ST, MOUNT VERNON, IL, 628642202.
What is CROSSROADS PHYSICIAN CORP's mailing address?
CROSSROADS PHYSICIAN CORP's mailing address is PO BOX 689022, FRANKLIN, TN, 370689022.
What is CROSSROADS PHYSICIAN CORP's phone number?
CROSSROADS PHYSICIAN CORP's phone number is (618) 241-8772.
Who is (618) 241-8772?
(618) 241-8772 is the phone number for CROSSROADS PHYSICIAN CORP.
What is CROSSROADS PHYSICIAN CORP's specialty?
CROSSROADS PHYSICIAN CORP's specialty is Rural Health Clinic/Center.
What type of doctor is CROSSROADS PHYSICIAN CORP?
CROSSROADS PHYSICIAN CORP is a Rural Health Clinic/Center.
Is CROSSROADS PHYSICIAN CORP a Rural Health?
Yes, CROSSROADS PHYSICIAN CORP is a Rural Health.
Is CROSSROADS PHYSICIAN CORP still practicing?
Yes, CROSSROADS PHYSICIAN CORP is currently practicing.
Is CROSSROADS PHYSICIAN CORP accepting new patients?
CROSSROADS PHYSICIAN CORP may be accepting new patients. Please call their office at (618) 241-8772 to inquire about availability.
Is NPI 1669466686 still active?
Yes, NPI 1669466686 is currently active.
Where does CROSSROADS PHYSICIAN CORP practice?
CROSSROADS PHYSICIAN CORP practices in MOUNT VERNON, IL.