MIDWEST EMERGENCY GOOD SAMARITAN NPI 1821442179

NPI Details

MIDWEST EMERGENCY GOOD SAMARITAN is an emergency medicine in Mount Vernon, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MIDWEST EMERGENCY GOOD SAMARITAN NPI is 1821442179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL
ZIP 62864-402
Phone: (817) 451-4208
Fax: (817) 563-3699

The provider's authorized official is William W Cruzen .
The authorized official title is Owner/president and has the following contact phone number (817) 451-4208.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 4/22/2016.

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: