Crossroads Physician Corp in Mount Vernon - Family Medicine
Crossroads Physician Corp - NPI 1699769612
Crossroads Physician Corp is a Family Medicine in Mount Vernon, Illinois. Crossroads Physician Corp practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Crossroads Physician Corp is 1699769612. The last update date is 2007-09-18.
Crossroads Physician Corp's current location address is 209 Crossroads Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182446222 and fax number 6182447299. The mailing address for Crossroads Physician Corp is 209 Crossroads Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossroads Physician Corp |
|---|---|
| Address | 209 Crossroads Pl, Mount Vernon, Illinois |
| Phone Number | 6182446222 |
| Fax Number | 6182447299 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Brewer T Debbie |
| Telephone Number | 6154657626 |
NPI Number Detail
| NPI Number | 1699769612 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 209 Crossroads Pl |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646254 |
| Phone Number | 6182446222 |
| Fax Number | 6182447299 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Crossroads Physician Corp by the Centers for Medicare & Medicaid Services (CMS)?
The Crossroads Physician Corp has been assigned the NPI (National Provider Identifier) 1699769612. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Crossroads Physician Corp?
The Crossroads Physician Corp is situated at 209 Crossroads Pl, in the city of Mount Vernon, state of IL, with the zip code 628646254.
What is Crossroads Physician Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crossroads Physician Corp is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699769612 to Crossroads Physician Corp?
The Crossroads Physician Corp received its 1699769612 assignment from the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details related to Crossroads Physician Corp most recently updated or revised?
The information pertaining to Crossroads Physician Corp, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-18.