| Good Samaritan Family Practice 120 | |
|
406 N 1st St Ste C Vincennes IN 47591-1358 | |
| (812) 882-1106 | |
| (812) 885-2758 |
| Full Name | Good Samaritan Family Practice 120 |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 406 N 1st St Ste C, Vincennes, Indiana |
| Authorized Official Name and Position | Robert Mclin (CEO) |
| Authorized Official Contact | 8128825220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Practice 120 1160 E Saint Clair St Vincennes IN 47591-4853 Ph: (812) 885-3325 | Good Samaritan Family Practice 120 406 N 1st St Ste C Vincennes IN 47591-1358 Ph: (812) 882-1106 |
| NPI Number | 1154084358 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154084358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave Ste B, Vincennes, IN 47591 Phone: 812-494-7500 Fax: 812-494-7600 |