| St. Marys Good Samaritan Inc | |
|
1034 E Noleman St Centralia IL 62801-3348 | |
| (618) 436-6267 | |
| Not Available |
| Full Name | St. Marys Good Samaritan Inc |
|---|---|
| Speciality | Counselor |
| Location | 1034 E Noleman St, Centralia, Illinois |
| Authorized Official Name and Position | Tammy Simonton (MNG BILLING) |
| Authorized Official Contact | 6184366267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Marys Good Samaritan Inc 1034 E Noleman St Centralia IL 62801-3348 Ph: (618) 436-6267 | St. Marys Good Samaritan Inc 1034 E Noleman St Centralia IL 62801-3348 Ph: (618) 436-6267 |
| NPI Number | 1568643021 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568643021 | NPI | - | NPPES |
| 3928382 | Other | IL | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Illinois) | Secondary |
| 101Y00000X | Counselor | (Illinois) | Secondary |
| 101Y00000X | Counselor | (Illinois) | Primary |
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