Crossroads Physician Corp in Salem - Nurse Practitioner
Crossroads Physician Corp - NPI 1598759516
Crossroads Physician Corp is a Nurse Practitioner in Salem, Illinois. Crossroads Physician Corp practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Crossroads Physician Corp is 1598759516. The last update date is 2007-09-18.
Crossroads Physician Corp's current location address is 1325 W Whittaker St, Salem, Illinois. You can contact this provider via phone number 6185484911 and fax number 6185488052. The mailing address for Crossroads Physician Corp is 1325 W Whittaker St, Salem, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Crossroads Physician Corp |
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Address | 1325 W Whittaker St, Salem, Illinois |
Phone Number | 6185484911 |
Fax Number | 6185488052 |
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 | 1598759516 |
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Provider Enumeration Date | 2005-09-06 |
Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
Address | 1325 W Whittaker St |
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City | Salem |
State | Illinois (IL) |
Post Code | 628812007 |
Phone Number | 6185484911 |
Fax Number | 6185488052 |
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 10-digit identification 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) 1598759516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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: 1325 W Whittaker St, Salem, IL, 628812007.
What is Crossroads Physician Corp's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crossroads Physician Corp's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did Crossroads Physician Corp receive its 1598759516 assignment from the Centers for Medicare & Medicaid Services?
The Crossroads Physician Corp was assigned its 1598759516 on 2005-09-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2007-09-18.