| Good Samaritan Hospital Physician Services, Inc | |
|
611 E Main St Suite 110 Petersburg IN 47567-1270 | |
| (812) 354-8426 | |
| (812) 354-9134 |
| Full Name | Good Samaritan Hospital Physician Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 E Main St, Petersburg, Indiana |
| Authorized Official Name and Position | Matthew Schuckman (CFO) |
| Authorized Official Contact | 8128825220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital Physician Services, Inc 1160 E Saint Clair St Vincennes IN 47591-4853 Ph: (812) 885-3106 | Good Samaritan Hospital Physician Services, Inc 611 E Main St Suite 110 Petersburg IN 47567-1270 Ph: (812) 354-8426 |
| NPI Number | 1639572829 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 3971671330 |
|---|---|
| Medicare Enrollment ID | O20120111000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639572829 | NPI | - | NPPES |
| 201205250A | Medicaid | IN | |
| 153904 | Other | IN | MEDICARE/OSCAR |
Petersburg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 E Alford St, Petersburg, IN 47567 Phone: 812-494-9515 Fax: 812-494-9514 | |
Petersburg Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 E Illinois St, Petersburg, IN 47567 Phone: 812-354-3458 Fax: 812-354-3459 | |
Deaconess Medical Group - Petersburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Pike Ave, Petersburg, IN 47567 Phone: 812-354-1052 Fax: 812-354-8280 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 E State Road 56, Petersburg, IN 47567 Phone: 810-494-9515 Fax: 812-494-9514 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786 |