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NATIONAL HEALTHCARE OF MT VERNON INC
NPI 1619602604
Clinic/Center - Rural Health in Benton, IL

Active since July 22, 2022
205 BAILEY LN STE F, BENTON, IL 62812(618) 882-4200(618) 882-4208 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About National Healthcare Of Mt Vernon Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIONAL HEALTHCARE OF MT VERNON INC (NPI 1619602604), doing business as Crossroads Clinic, is a healthcare organization registered as a rural health in Benton, Illinois and active in the NPI registry since July 2022. The organization lists Randy Michael Cooper, Svp Finance Op, as its authorized official.

NPPES Registry Identity

NPI1619602604
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNATIONAL HEALTHCARE OF MT VERNON INC
Location Address205 BAILEY LN STE FBenton, IL 62812-1921
Mailing AddressPo Box 5009Brentwood, TN 37024-5009 · (615) 221-3722
Phone(618) 882-4200
Fax(618) 882-4208
Organization SubpartNo
Authorized OfficialRandy Michael CooperSvp Finance Op · (615) 221-3840
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1619602604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
205 BAILEY LN STE F, Benton, IL 62812
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Other Names 1

Doing Business AsCrossroads Clinic

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Clinic/Center (Rural Health)
205 BAILEY LN STE F
BENTON, IL 62812
Franklin County (618) 918-0645
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Orthopaedic Surgery
205 BAILEY LN STE F
BENTON, IL 62812
Franklin County (618) 882-4200
DEACONESS ILLINOIS CLINIC, INC
Family Medicine
205 BAILEY LN STE F
BENTON, IL 62812
Franklin County (618) 882-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is National Healthcare Of Mt Vernon Inc's NPI number?

The NPI number for National Healthcare Of Mt Vernon Inc is 1619602604. It was assigned to this organization in the NPPES registry on July 22, 2022. The provider is doing business as Crossroads Clinic.

Where is National Healthcare Of Mt Vernon Inc located?

National Healthcare Of Mt Vernon Inc is located at 205 Bailey Ln Ste F, Benton, IL 62812. The listed phone number is (618) 882-4200.

What is National Healthcare Of Mt Vernon Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for National Healthcare Of Mt Vernon Inc was last updated on July 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.