ST ANTHONY MEDICAL CENTER


Address: 1201 S Main St, Emergency Department, Crown Point, IN 46307-8481
Phone: 2197576218

ST ANTHONY MEDICAL CENTER (NPI# 1689620981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689620981
Entity Type Organization
Organization Name ST ANTHONY MEDICAL CENTER
Other Organization Name SAMC EMERGENCY ROOM PHYSICIANS
Practice Address 1201 S Main St
Emergency Department
Crown Point
IN 46307-8481
Practice Telephone 2197576218
Practice Fax Number 2196816885
Mailing Telephone 2197576218
Mailing Fax Number 2196816885
Enumeration Date 2006-05-26
Last Update Date 2009-05-13
Authorized Official Name DAVID RUSKOWSKI (CEO)
Authorized Official Telephone 2197576103
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 200293160 05

Other Provider/Organization Names

Other Name Type Code
SAMC Emergency Room Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568402774 St Anthony Medical Center Clinic/Center 1201 S Main St, Dept Fpn, Crown Point, IN 46307-8481 2006-06-07

Office Location

Street Address 1201 S MAIN ST
EMERGENCY DEPARTMENT
City CROWN POINT
State IN
Zip Code 46307-8481

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558366153 Carrie Shaffer Emergency Medicine 1201 S Main St, Crown Point, IN 46307-8481 2005-06-20
1417561770 David C Wright Nurse Anesthetist, Certified Registered 1201 S Main St, Crown Point, IN 46307-8481 2020-09-03
1326665043 Jeinette Javier San Juan Nurse Practitioner 1201 S Main St, Crown Point, IN 46307-8481 2020-06-29
1184250623 Franciscan Alliance, Inc Pharmacy 1201 S Main St, Crown Point, IN 46307-8481 2020-03-17
1386280253 Greg Wade Nurse Practitioner 1201 S Main St, Crown Point, IN 46307-8481 2019-11-26
1295370732 Steven Ferris Pharmacist 1201 S Main St, Crown Point, IN 46307-8481 2019-11-07
1114583564 Carlo Balmaseda Registered Nurse 1201 S Main St, Crown Point, IN 46307-8481 2019-05-10
1538636808 Sophia Pollalis Specialist/Technologist 1201 S Main St, Crown Point, IN 46307-8481 2018-10-25
1578038840 Dharmesh Shah Pharmacist 1201 S Main St, Crown Point, IN 46307-8481 2018-10-12
1609360965 David Velasco Nurse Anesthetist, Certified Registered 1201 S Main St, Crown Point, IN 46307-8481 2018-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117935 Alimat O Biokoro Home Health Aide 1446 W 94th Ct., Crown Point, IN 46307 2020-09-06
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1659933646 Darshak Joshi Physical Therapist 860 Stillwater Parkway, Crown Point, IN 46307 2019-07-01
1215592001 Jamie Monday Counselor 1416 East Joliet St., Crown Point, IN 46307 2019-05-07
1790281152 Tempus Labs Inc. Clinical Medical Laboratory 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 2018-04-04
1669991170 Katie Lynn Eich Counselor 1308 N. Main St, Crown Point, IN 46307 2017-09-15
1053847251 Nicole Bashan Lewis Counselor 1325 W 98th Ave, Crown Point, IN 46307 2017-05-08
1710433008 Paul Alvin Clavecilla Physical Therapist 1099 South Main St., Apt. 314, Crown Point, IN 46307 2016-08-28
1851761365 Cynthia Catherine Grass Black Social Worker 8592 Bell Lane, Crown Point, IN 46307 2015-09-28
1326437799 Ameya Dorsatwar Physical Therapist 1516 North Main St, Crown Point, IN 46307 2015-01-22
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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518509181 Riverview Hospital Clinic/Center 9690 E 116th St, Fishers, IN 46037-2838 2019-10-15
1821334673 -trinity Integrative Medicine Clinic/Center 100 West Court St, Trinity Integrative Medicine LLC, Jeffersonville, IN 47130 2012-12-26
1689070245 Quad Med LLC Clinic/Center 502 High St, Logansport, IN 46947-2766 2014-11-10
1013262351 Wellness Group, P.C. Clinic/Center 802 Laporte Ave, Porter Hospital Wound Care Center, Valparaiso, IN 46383-5860 2012-07-23
1407007933 Emergency Medical Group, Inc Clinic/Center 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202-1239 2008-10-02

Competitor

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City CROWN POINT
Zip Code 46307

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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