| Good Samaritan Mental Health Association Llc | |
|
500 W Votaw St Portland IN 47371-1322 | |
| (260) 418-7036 | |
| Not Available |
| Full Name | Good Samaritan Mental Health Association Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 500 W Votaw St, Portland, Indiana |
| Authorized Official Name and Position | Samir G Ishak (OWNER) |
| Authorized Official Contact | 2604187036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Mental Health Association Llc 500 W Votaw St Portland IN 47371-1322 Ph: (260) 418-7036 | Good Samaritan Mental Health Association Llc 500 W Votaw St Portland IN 47371-1322 Ph: (260) 418-7036 |
| NPI Number | 1154536704 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 11/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154536704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
K A Lawrence Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Oak St, Portland, IN 47371 Phone: 317-727-9223 | |
Youth Service Bureau Of Jay County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W Arch St, Portland, IN 47371 Phone: 260-726-8520 Fax: 260-726-8535 | |
Lifebridge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1976 | |
Jay County Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 |