| Samaritan Center - 5th St | |
|
515 Bayou St Vincennes IN 47591-1034 | |
| (812) 885-2709 | |
| (812) 885-2729 |
| Full Name | Samaritan Center - 5th St |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 515 Bayou St, Vincennes, Indiana |
| Authorized Official Name and Position | John Manning (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8128852709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Center - 5th St 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Samaritan Center - 5th St 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 885-2709 |
| NPI Number | 1861660003 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861660003 | NPI | - | NPPES |
| 100270140G | Medicaid | IN |
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