CROSSROADS PHYSICIAN CORP

MOUNT VERNON, IL
NPI1669466686
Doing Business AsCROSSROADS FAMILY MEDICINE OF MT VERNON
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy261QR1300X Clinic/Center Rural Health
Enumeration Date2005-09-06
Last Update Date2011-08-10
Business Address
CROSSROADS PHYSICIAN CORP
3505 BROADWAY ST
MOUNT VERNON, IL 62864-2202
Phone number: 618-241-8772
Mailing Address
CROSSROADS PHYSICIAN CORP
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-465-7626