National Healthcare of Mt Vernon INC

NPI #1982955712 in Benton, Illinois

Provider Information

NPI Number
1982955712
Entity Type
Organization
Organization Name
National Healthcare of Mt Vernon INC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 19, 2012
Last Updated
Apr 23, 2019

Practice Location

Address
905 W WASHINGTON ST STE A
City
Benton
ZIP Code
62812
Phone
(618) 435-2229

Authorized Official

Name
TARA P RICHARDSON
Title
AUTHORIZED OFFICIAL
Phone
(615) 221-3672

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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