National Healthcare of Mt Vernon INC
NPI #1962753277 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1962753277
- Entity Type
- Organization
- Organization Name
- National Healthcare of Mt Vernon INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Apr 25, 2016
Practice Location
- Address
- 209 CROSSROADS PL
- Address 2
- SUITE 120
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6545
- Phone
- (618) 244-6222
Authorized Official
- Name
- TARA P RICHARDSON
- Title
- AUTHORIZED OFFICAL
- Phone
- (615) 221-3672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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