National Healthcare of Mt Vernon INC

NPI #1902143910 in Benton, Illinois

Provider Information

NPI Number: 1902143910
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: Internal Medicine
Enumeration Date: Jan 10, 2013
Last Updated: Mar 12, 2015

Practice Location

Address: 905 W WASHINGTON ST
Address 2: SUITE A
City: Benton
State: Illinois
ZIP Code: 62812-1649
Phone: (618) 435-2229

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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