Healthcare Provider Details

I. General information

NPI: 1215175294
Provider Name (Legal Business Name): RIVER CROSSING EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 01/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N MAIN ST
RUSHVILLE IN
46173-1116
US

IV. Provider business mailing address

PO BOX 37761
PHILADELPHIA PA
19101-5061
US

V. Phone/Fax

Practice location:
  • Phone: 765-932-2275
  • Fax:
Mailing address:
  • Phone: 800-732-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateIN

VIII. Authorized Official

Name: MR. JAMES L MURPHY
Title or Position: OWNER
Credential:
Phone: 800-732-1066