NATIONAL HEALTHCARE OF MT VERNON INC (NPI# 1447814405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447814405 |
| Entity Type | Organization |
| Organization Name | NATIONAL HEALTHCARE OF MT VERNON INC |
| Other Organization Name | CROSSROADS INTERNAL MEDICINE RHC |
| Practice Address |
4101 N Water Tower Pl Mount Vernon IL 62864-6296 |
| Mailing Address |
Po Box 11802 Belfast ME 04915-4009 |
| Practice Telephone | 6182444313 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads Internal Medicine RHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143910 | National Healthcare of Mt Vernon Inc | Internal Medicine | 905 W Washington St, Suite A, Benton, IL 62812-1649 | 2013-01-10 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1528305448 | National Healthcare of Mt Vernon Inc | Family Medicine | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2013-01-11 |
| 1619214624 | National Healthcare of Mt Vernon Inc | Internal Medicine | 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 | 2013-01-10 |
| 1962753277 | National Healthcare of Mt Vernon Inc | Clinic/Center | 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 | 2012-09-26 |
| 1932450772 | National Healthcare of Mt Vernon Inc | Clinic/Center | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2012-09-19 |
| 1063630820 | National Healthcare of Mt Vernon Inc | Emergency Medicine | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-04-24 |
| 1750353041 | National Healthcare of Mt Vernon Inc | General Acute Care Hospital | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-02-02 |
| 1851363154 | National Healthcare of Mt Vernon Inc | Medicare Defined Swing Bed Unit | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-02-02 |
| Street Address |
4101 N WATER TOWER PL |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779874 | Crossroads Physician Corp | Nurse Practitioner | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2005-09-06 |
| 1841785185 | Cynthia Dawn Phillips | Nurse Practitioner | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2018-06-28 |
| 1255724043 | National Healthcare of Mt. Vernon, Inc | Internal Medicine | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2015-03-18 |
| 1013334556 | Sikarin Upala | Internal Medicine | 4101 N Water Tower Pl, Mount Vernon, IL 62864 | 2014-03-22 |
| 1043637580 | Anawin Sanguankeo | Internal Medicine | 4101 N Water Tower Pl, Mount Vernon, IL 62864 | 2014-03-22 |
| 1528233681 | Megan Jean Neely | Internal Medicine | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2008-04-29 |
| 1578513420 | William D Huffstutler | Internal Medicine | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396263000 | Rockcastle County Hospital, Inc. | Clinic/Center | 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 | 2017-09-01 |
| 1578090403 | Advanced Family Medical Clinic Mount Vernon | Clinic/Center | 50 Lovell Court, Mount Vernon, KY 40456-2964 | 2017-05-23 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1871706374 | John Hall Md Rural Health Services | Clinic/Center | 3505 Broadway St Ste A, Mount Vernon, IL 62864-2202 | 2007-05-08 |
| 1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
| 1497823314 | Southside Medical Clinic Inc | Clinic/Center | 913 South 10th Street, Mount Vernon, IL 62864-5313 | 2006-11-30 |
| 1669466686 | Crossroads Physician Corp | Clinic/Center | 3505 Broadway St, Mount Vernon, IL 62864-2202 | 2005-09-06 |
| 1548264237 | Physician Services Corp of Southern Illinois | Clinic/Center | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2005-06-09 |
| 1912900234 | Family Care Network, Pllc | Clinic/Center | 2116 E. Section St., Mount Vernon, WA 98274 | 2005-05-31 |
| 1801280409 | Heartland Women's Healthcare, Ltd | Clinic/Center | 3130 Veterans Memorial Dr, Mount Vernon, IL 62864-5951 | 2015-03-23 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on NATIONAL HEALTHCARE OF MT VERNON INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.