Organization
ST ANTHONY MEDICAL CENTER
Active
Other names
SAMC Emergency Room Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUSKOWSKI (CEO)
(219) 757-6103
Entity
Organization
Contact information
Practice address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6218
(219) 681-6885
Mailing address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6218
(219) 681-6885
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293160
—
IN
Enumeration date
05/26/2006
Last updated
05/13/2009
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