Organization
MIDWEST EMERGENCY SERVICES INC
Active
Organization
MIDWEST EMERGENCY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W CRUZEN DO (PRESIDENT)
(618) 624-3368
Entity
Organization
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
PO BOX 8351, FORT WORTH, TX 76124-0351
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032182
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/26/2006
Last updated
06/04/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up