Midwest Emergency Good Samaritan, Inc

LBN: Midwest Emergency Good Samaritan, Inc
Midwest Emergency Good Samaritan, Inc is an health care organization with primary practice located at 605 N 12Th St , Mount Vernon IL 62864-2857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Midwest Emergency Good Samaritan, Inc can be contacted via phone (817) 451-4208, or through Cruzen, William W via phone (817) 451-4208.

Contact Information

Primary practice address
605 N 12Th St Mount Vernon IL 62864-2857
Phone: (817) 451-4208
Fax: (817) 563-3699
Website:
Map and Directions
Authorized official contact:
Name: Cruzen, William W Doctor of Osteopathy (DO)
Phone: (817) 451-4208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1629367578
LBN Legal business name Midwest Emergency Good Samaritan, Inc
DBA Doing business as
Authorized official Cruzen, William W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2011
Last updated Mar 31st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers