Crossroads Physician Corp in Mount Vernon - Nurse Practitioner
Crossroads Physician Corp - NPI 1194980516
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 1194980516. The last update date is 2008-07-28.
Crossroads Physician Corp's current location address is 209 Crossrods Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182417207. The mailing address for Crossroads Physician Corp is 209 Crossrods Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossroads Physician Corp |
|---|---|
| Address | 209 Crossrods Pl, Mount Vernon, Illinois |
| Phone Number | 6182417207 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Brewer T Debbie |
| Telephone Number | 6154657626 |
NPI Number Detail
| NPI Number | 1194980516 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 209 Crossrods Pl |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646545 |
| Phone Number | 6182417207 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| 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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crossroads Physician Corp by the Centers for Medicare & Medicaid Services?
The Crossroads Physician Corp has been issued the NPI (National Provider Identifier) 1194980516 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Crossroads Physician Corp?
The Crossroads Physician Corp is situated at 209 Crossrods Pl, in the city of Mount Vernon, state of IL, with the zip code 628646545.
What is Crossroads Physician Corp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Crossroads Physician Corp is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
When did the Crossroads Physician Corp receive its 1194980516?
The Crossroads Physician Corp was issued its 1194980516 on 2008-07-24, which is the date when the organization was assigned this unique identifier.
When was the Crossroads Physician Corp's information last updated?
The Crossroads Physician Corp's information was last updated on 2008-07-28.
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