MIDWEST EMERGENCY GOOD SAMARITAN, INC
NPI 1629367578
Emergency Medicine in Mount Vernon, IL

Active since March 31, 2011
605 N 12TH ST, MOUNT VERNON, IL 62864(817) 451-4208(817) 563-3699 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Emergency Good Samaritan, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST EMERGENCY GOOD SAMARITAN, INC (NPI 1629367578) is a healthcare organization registered as an emergency medicine in Mount Vernon, Illinois and active in the NPI registry since March 2011. The organization lists William W Cruzen, President, as its authorized official.

NPPES Registry Identity

NPI1629367578
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMIDWEST EMERGENCY GOOD SAMARITAN, INC
Location Address605 N 12TH STMount Vernon, IL 62864-2857
Mailing Address6451 Brentwood Stair Road, Suite 202Fort Worth, TX 76112-3200 · (817) 451-4208 · Fax (817) 563-3699
Fax(817) 563-3699
Organization SubpartNo
Authorized OfficialWilliam W CruzenPresident · (817) 451-4208
Enumeration DateMarch 31, 2011
NPI 1629367578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
605 N 12TH ST, Mount Vernon, IL 62864

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
605 N 12TH ST
MOUNT VERNON, IL 62864
Speech-Language Pathologist
605 N 12TH ST
MOUNT VERNON, IL 62864
Internal Medicine
605 N 12TH ST
MOUNT VERNON, IL 62864
Occupational Therapist
605 N 12TH ST
MOUNT VERNON, IL 62864
Emergency Medicine
605 N 12TH ST
MOUNT VERNON, IL 62864
Internal Medicine
605 N 12TH ST
MOUNT VERNON, IL 62864
Speech-Language Pathologist
605 N 12TH ST
MOUNT VERNON, IL 62864
Internal Medicine
605 N 12TH ST, HOSPITALIST OFFICE
MOUNT VERNON, IL 62864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Emergency Good Samaritan, Inc's NPI number?

The NPI number for Midwest Emergency Good Samaritan, Inc is 1629367578. It was assigned to this organization in the NPPES registry on March 31, 2011.

Where is Midwest Emergency Good Samaritan, Inc located?

Midwest Emergency Good Samaritan, Inc is located at 605 N 12th St, Mount Vernon, IL 62864. The listed phone number is (817) 451-4208.

What is Midwest Emergency Good Samaritan, Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Midwest Emergency Good Samaritan, Inc was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.