NATIONAL HEALTHCARE OF MT VERNON INC (NPI# 1528305448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528305448 |
| Entity Type | Organization |
| Organization Name | NATIONAL HEALTHCARE OF MT VERNON INC |
| Other Organization Name | CROSSROADS FAMILY MEDICINE OF WAYNE CITY |
| Practice Address |
1209 W Robinson St Wayne City IL 62895-9672 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 6188952050 |
| Practice Fax Number | 6188952056 |
| Mailing Telephone | 8007097338 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | SOPHIA ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL HEALTHCARE OF MT VERNON INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CROSSROADS FAMILY MEDICINE OF WAYNE CITY | 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 |
| 1447814405 | National Healthcare of Mt Vernon Inc | Clinic/Center | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2019-04-25 |
| 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 |
1209 W ROBINSON ST |
| City | WAYNE CITY |
| State | IL |
| Zip Code | 62895-9672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597060 | Crossroads Physician Corp | Physician Assistant | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2005-09-06 |
| 1932450772 | National Healthcare of Mt Vernon Inc | Clinic/Center | 1209 W Robinson St, Wayne City, IL 62895-9672 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556800 | Stella C Johnson | Registered Nurse | 1601 West Robinson, Wayne City, IL 62895 | 2014-12-01 |
| 1326315318 | Kassi Dawn Mccormick | Physical Therapy Assistant | Rural Route Box 270a, Wayne City, IL 62895 | 2011-11-19 |
| 1770797706 | Wayne City Community School District 100 | Local Education Agency (LEA) | 302 Mill Street, Wayne City, IL 62895 | 2007-05-09 |
| 1750436002 | Village of Wayne City | Ambulance | 103 Mill Street, Wayne City, IL 62895-0176 | 2007-01-25 |
| 1083793962 | Bandys Apothecary Shops Inc | Pharmacy | 310 S Main St, Wayne City, IL 62895-0308 | 2006-11-03 |
| 1477554228 | Lisa K Feather | Physician Assistant | 1601 W Robinson, Wayne City, IL 62895-9483 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556800 | Stella C Johnson | Registered Nurse | 1601 West Robinson, Wayne City, IL 62895 | 2014-12-01 |
| 1326315318 | Kassi Dawn Mccormick | Physical Therapy Assistant | Rural Route Box 270a, Wayne City, IL 62895 | 2011-11-19 |
| 1770797706 | Wayne City Community School District 100 | Local Education Agency (LEA) | 302 Mill Street, Wayne City, IL 62895 | 2007-05-09 |
| 1750436002 | Village of Wayne City | Ambulance | 103 Mill Street, Wayne City, IL 62895-0176 | 2007-01-25 |
| 1477554228 | Lisa K Feather | Physician Assistant | 1601 W Robinson, Wayne City, IL 62895-9483 | 2005-08-02 |
| 1083793962 | Bandys Apothecary Shops Inc | Pharmacy | 310 S Main St, Wayne City, IL 62895-0308 | 2006-11-03 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | WAYNE CITY |
| Zip Code | 62895 |
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.