| Good Samaritan Family Health Center, Inc | |
|
515 Bayou St Vincennes IN 47591-1034 | |
| (812) 494-9501 | |
| (812) 494-9502 |
| Full Name | Good Samaritan Family Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 515 Bayou St, Vincennes, Indiana |
| Authorized Official Name and Position | Jennifer Emmons (CEO) |
| Authorized Official Contact | 8124947800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Health Center, Inc Po Box 556 Vincennes IN 47591-0556 Ph: (812) 494-7500 | Good Samaritan Family Health Center, Inc 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 494-9501 |
| NPI Number | 1932806312 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932806312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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