CROSSROADS FAMILY MEDICINE OF BENTON
NPI 1750375770
Family Medicine in Benton, IL

NPI Status: Active since September 06, 2005

Contact Information

320 N MAIN ST
SUITE A
BENTON, IL
ZIP 62812
Phone: (618) 439-6370
Fax: (618) 439-6490

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  • Organization
  • Family Medicine

About CROSSROADS FAMILY MEDICINE OF BENTON

This page provides the complete NPI Profile along with additional information for Crossroads Family Medicine Of Benton, a primary care provider established in Benton, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750375770 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Crossroads Family Medicine Of Benton operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Crossroads Family Medicine Of Benton. The authorized official of this NPI record is Debbie T Brewer (Director Of Provider Enrollment)

NPI
1750375770
Provider Legal Name
CROSSROADS PHYSICIAN CORP
Other Organization Name
CROSSROADS FAMILY MEDICINE OF BENTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
320 N MAIN ST SUITE A BENTON, IL 62812
Location Phone
(618) 439-6370
Location Fax
(618) 439-6490
Mailing Address
320 N MAIN ST SUITE A BENTON, IL 62812
Mailing Phone
(618) 439-6370
Mailing Fax
(618) 439-6490
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-06-2005
Last Update Date
09-19-2007
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A primary care provider (PCP) like Crossroads Family Medicine Of Benton 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBBIE T BREWER

Authorized Official Title
DIRECTOR OF PROVIDER ENROLLMENT
Authorized Official Phone
(615) 465-7626

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
208459MEDICARE PIN (08)IL 
599560MEDICARE PIN (08)IL 

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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.
1750375770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006710714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 0 + 7 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750375770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750375770, enumerated in the NPI registry as an "organization" on September 06, 2005

The provider is located at 320 N Main St Suite A Benton, Il 62812 and the phone number is (618) 439-6370

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 06, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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