OrganizationActive
National Healthcare of Mt Vernon Inc
NPI 1619602604 · Rural Health Clinic/Center · Benton, IL
Provider details
- NPI number
- 1619602604
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Cooper, Svp Finance Op(615) 221-3840
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Bailey Ln Ste F
Benton, IL 62812-1921
Phone: (618) 882-4200
Fax: (618) 882-4208
Street-level locationGet directions
Mailing address
Po Box 5009
Brentwood, TN 37024-5009
Other names (DBA / former)
- Doing business as
- Crossroads Clinic
Registry dates
- Enumerated
- 2022-07-22
- Last updated
- 2022-07-22
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.