DEACONESS ILLINOIS CROSSROADS INC NPI 1528785284

NPI Information

NPI: 1528785284
Provider Name: DEACONESS ILLINOIS CROSSROADS INC

Doing Business As: DEACONESS ILLINOIS RURAL HEALTH CLINIC WAYNE CITY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895
Phone: (618) 895-2050
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DEACONESS ILLINOIS CROSSROADS INC is a rural health clinic center in Wayne City, IL. DEACONESS ILLINOIS CROSSROADS INC NPI is 1528785284. The provider is registered as an organization entity type.
The provider Is Doing Business As Deaconess Illinois Rural Health Clinic Wayne City.

The provider's business location address is:

1209 W ROBINSON ST
WAYNE CITY, IL
ZIP 62895-672
Phone: (618) 895-2050
Fax: (618) 895-2056

The provider's authorized official is Amber Lipe .
The authorized official title is Cfo and has the following contact phone number (618) 998-7020.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 1/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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