National Healthcare Of Mt Vernon INC
General Acute Care Hospital in Mount Vernon, IL. Organization (NPI-2).
NPI number1750353041
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1750353041
- Entity type
- Organization (NPI-2)
- Legal business name
- National Healthcare Of Mt Vernon INC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2006
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 0003947 | IL | Yes |
Other names
- Crossroads Community Hospital (Doing Business As)
Practice location
8 Doctors Park RdMount Vernon, IL 62864-6224
Phone 618-244-5500 · Fax 618-244-5566
Mailing address
Po Box 60548Saint Louis, MO 63160-0548
Authorized official
Randy Michael Cooper
Svp Finance Operations/Ao
6152213840
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