| St. Marys Good Samaritan Medical Group Ultrasound | |
|
1708 Jefferson Ave Suite 100 Mount Vernon IL 62864-4309 | |
| (618) 241-1856 | |
| (618) 241-1857 |
| Full Name | St. Marys Good Samaritan Medical Group Ultrasound |
|---|---|
| Speciality | Clinic/center |
| Location | 1708 Jefferson Ave, Mount Vernon, Illinois |
| Authorized Official Name and Position | Richard Huntington (VP FINANCIAL SERVICES) |
| 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 Ultrasound 413 Main St Mount Vernon IL 62864-3649 Ph: (618) 532-9350 | St. Marys Good Samaritan Medical Group Ultrasound 1708 Jefferson Ave Suite 100 Mount Vernon IL 62864-4309 Ph: (618) 241-1856 |
| NPI Number | 1316271653 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316271653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Deaconess Il Specialty 4117 Water Tower Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl Ste C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Anderson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-7788 Fax: 618-244-9330 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 812-450-6815 | |
Deaconess Illinois Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Deaconess Illinois Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-241-9071 Fax: 618-241-9079 | |
King City Physician Company, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Crossroads Physician Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864 Phone: 618-241-7207 Fax: 618-241-7210 |