Crossroads Physician Corp in Mount Vernon - Nurse Practitioner
Crossroads Physician Corp - NPI 1790779874
Crossroads Physician Corp is a Nurse Practitioner in Mount Vernon, Illinois. Crossroads Physician Corp practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Crossroads Physician Corp is 1790779874. The last update date is 2007-10-30.
Crossroads Physician Corp's current location address is 4101 N Water Tower Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182444313 and fax number 6182449592. The mailing address for Crossroads Physician Corp is 4101 N Water Tower Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Crossroads Physician Corp |
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Address | 4101 N Water Tower Pl, Mount Vernon, Illinois |
Phone Number | 6182444313 |
Fax Number | 6182449592 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Brewer T Debbie |
Telephone Number | 6154657626 |
NPI Number Detail
NPI Number | 1790779874 |
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Provider Enumeration Date | 2005-09-06 |
Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
Address | 4101 N Water Tower Pl |
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City | Mount Vernon |
State | Illinois (IL) |
Post Code | 628646296 |
Phone Number | 6182444313 |
Fax Number | 6182449592 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Crossroads Physician Corp by the Centers for Medicare & Medicaid Services?
The Crossroads Physician Corp has been assigned the NPI (National Provider Identifier) 1790779874. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Crossroads Physician Corp's facilities are situated?
The facilities of Crossroads Physician Corp are physically located at the following address: 4101 N Water Tower Pl, Mount Vernon, IL, 628646296.
What is Crossroads Physician Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crossroads Physician Corp is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did Crossroads Physician Corp receive its 1790779874 assignment?
The Crossroads Physician Corp was assigned its 1790779874 on 2005-09-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Crossroads Physician Corp most recently updated or revised?
The details related to Crossroads Physician Corp, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.
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