| St Marys Good Samaritan Medical Group | |
|
1250 W Whittaker St Salem IL 62881-1917 | |
| (618) 532-3950 | |
| (618) 532-9365 |
| Full Name | St Marys Good Samaritan Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1250 W Whittaker St, Salem, Illinois |
| Authorized Official Name and Position | Richard Huntington (VP FINANCIAL DEVELOPMENT) |
| Authorized Official Contact | 6182412204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marys Good Samaritan Medical Group 413 Main St Mount Vernon IL 62864-3649 Ph: (618) 532-3950 | St Marys Good Samaritan Medical Group 1250 W Whittaker St Salem IL 62881-1917 Ph: (618) 532-3950 |
| NPI Number | 1619109543 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619109543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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