National Healthcare of Mt Vernon INC

NPI #1619214624 in Mount Vernon, Illinois

Provider Information

NPI Number
1619214624
Entity Type
Organization
Organization Name
National Healthcare of Mt Vernon INC
Subpart
Yes (part of a larger organization)
Parent Organization
NATIONAL HEALTHCARE OF MT VERNON INC
Primary Specialty
Family Medicine
Enumeration Date
Jan 10, 2013
Last Updated
Mar 12, 2015

Practice Location

Address
209 CROSSROADS PL
Address 2
SUITE 120
ZIP Code
62864-6545
Phone
(618) 244-6222

Authorized Official

Name
JAMES WRIGHT
Title
SR DIRECTOR
Phone
(615) 465-7587

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics
Family Medicine

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