CROSSROADS FAMILY MEDICINE OF WAYNE CITY
NPI 1932450772
Clinic/Center - Rural Health in Wayne City, IL
NPI Status: Active since September 19, 2012
Contact Information
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
Phone: (618) 895-2050
Fax: (618) 895-2056
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 14D1015200
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-08-2025
About CROSSROADS FAMILY MEDICINE OF WAYNE CITY
This page provides the complete NPI Profile along with additional information for Crossroads Family Medicine Of Wayne City, a primary care provider established in Wayne City, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1932450772 assigned on September 2012. The practitioner's primary taxonomy code is 261QR1300X with license number 0003947 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crossroads Family Medicine Of Wayne City. The authorized official of this NPI record is Laura J Fey (Sr. Director Physician Rev Cycle)
- NPI
- 1932450772
- Provider Legal Name
- NATIONAL HEALTHCARE OF MT VERNON INC
- Other Organization Name
- CROSSROADS FAMILY MEDICINE OF WAYNE CITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1209 W ROBINSON ST WAYNE CITY, IL 62895
- Location Phone
- (618) 895-2050
- Location Fax
- (618) 895-2056
- Mailing Address
- 1573 MALLORY LN STE 100 BRENTWOOD, TN 37027
- Mailing Phone
- (152) 221-1400
- Mailing Fax
- (618) 895-2056
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2012
- Last Update Date
- 07-07-2023
- Code Navigator
A primary care provider (PCP) like Crossroads Family Medicine Of Wayne City sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0003947
- License State
- IL
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1015200
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 09, 2023
- Certificate Expiration Date
- November 08, 2025
- Laboratory Director
- WILLIAM D. HUFFSTUTLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossroads Family Medicine Of Wayne City to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CROSSROADS FAMILY MEDICINE OF WAYNE CITY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 4 | 5 | 0 | 7 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 8 | 5 | 0 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 8 + 5 + 0 + 7 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1932450772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NATIONAL HEALTHCARE OF MT VERNON INC
Family Medicine
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
CROSSROADS PHYSICIAN CORP
Family Medicine
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
DEACONESS ILLINOIS CROSSROADS INC
Clinic/Center
(Rural Health)
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
KIMBERLY ANNE BELANGEE FNP-BC
Nurse Practitioner
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932450772, enumerated as an "organization" on September 19, 2012.
The provider is located at 1209 W ROBINSON ST WAYNE CITY, IL 62895 and the phone number is (618) 895-2050.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
