Crossroads Physician Corp
Crossroads Physician Corp is a healthcare organization registered as Rural Health Clinic/Center in Mount Vernon, IL, holding Type 2 (organization) NPI 1669466686 since 2005. The authorized official on file is Debbie Brewer, Director of Provider Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1669466686 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crossroads Physician Corp |
| Other name | <Unavail> |
| Parent organization | Crossroads Physician Corp |
| Practice address | 3505 BROADWAY ST, Mount Vernon, IL, 62864 |
| Phone | 6182418772 |
| Fax | 6182418775 |
| Enumeration date | 2005-09-06 |
| Last updated in NPPES | 2011-08-10 |
Authorized official
| Name | Debbie Brewer |
|---|---|
| Title | Director of Provider Enrollment |
| Phone | 6154657626 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036041176 | Medicaid | IL | — |
Copy-ready billing details
Provider: Crossroads Physician Corp NPI: 1669466686 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 3505 BROADWAY ST, Mount Vernon, IL, 62864
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558473645 | John Hall, M.D., P.C. | Organization | Adult Medicine Physician | Mount Vernon, IL |
| 1023235348 | Anderson Family Practice | Organization | Primary Care Clinic/Center | Mount Vernon, IL |
| 1639019169 | Mt. Vernon Chiropractic Clinic, Pllc | Organization | Chiropractor | Mount Vernon, IL |
Verify this record
Cross-check NPI 1669466686 against the authoritative CMS record: view Crossroads Physician Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Crossroads Physician Corp located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-08-10.