Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Midwest Emergency Good Samaritan, Inc

Organization Emergency Medicine Physician · NPI 1629367578

Midwest Emergency Good Samaritan, Inc is an Emergency Medicine Physician in Mount Vernon, Illinois. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

605 N 12th St
Mount Vernon, IL 62864-2857
Phone: (817) 451-4208
Fax: (817) 563-3699
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1629367578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Cruzen — President · (817) 451-4208
NPI enumeratedMarch 31, 2011
Last updated in NPPESMarch 31, 2011
Mailing address6451 Brentwood Stair Road, Suite 202, Fort Worth, TX 76112-3200

Other providers in Mount Vernon