Deaconess Illinois Crossroads Inc
Doing business as Deaconess Illinois Crossroads Family Clinic - Mt
Rural health clinic in Mount Vernon, IL, Medicare certification number 148605.
Medicare certification
Provider of Services- CCN
- 148605
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Nov 20, 2019
- Last certification
- Nov 20, 2019
- Most recent change of ownership
- Jan 14, 2023 (1 total)
- Address
- 4101 N Water Tower Place
Mount Vernon, IL 62864
(618) 244-4313
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Crossroads Internal Medicine
- Rural Health Clinic/Center
- Mount Vernon, IL
- NPI 1316663602
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.