| Good Samaritan Family Health Center, Inc | |
|
201 Brooks Ave Loogootee IN 47553-1412 | |
| (812) 494-9514 | |
| (812) 494-9515 |
| Full Name | Good Samaritan Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Brooks Ave, Loogootee, Indiana |
| Authorized Official Name and Position | Jennifer Emmons (CEO) |
| Authorized Official Contact | 8124949501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Health Center, Inc Po Box 556 Vincennes IN 47591-0556 Ph: (812) 494-9501 | Good Samaritan Family Health Center, Inc 201 Brooks Ave Loogootee IN 47553-1412 Ph: (812) 494-9514 |
| NPI Number | 1003652637 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 5294099321 |
|---|---|
| Medicare Enrollment ID | O20250106000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003652637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Daviess County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12546 E Us Highway 50, Loogootee, IN 47553 Phone: 812-295-5095 Fax: 812-295-9403 | |
Little Company Of Mary Hospital Of Indiana, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Cooper St, Loogootee, IN 47553 Phone: 812-295-2812 Fax: 812-295-3726 |