| Samaritan Center-buntin | |
|
121 Buntin St Vincennes IN 47591-1320 | |
| (812) 885-2700 | |
| (812) 885-2716 |
| Full Name | Samaritan Center-buntin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 Buntin St, Vincennes, Indiana |
| Authorized Official Name and Position | John Manning (VP BEHAVIORAL HEALTH/SPEC PROJECTS) |
| Authorized Official Contact | 8128866800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Center-buntin 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Samaritan Center-buntin 121 Buntin St Vincennes IN 47591-1320 Ph: (812) 885-2700 |
| NPI Number | 1861490435 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861490435 | NPI | - | NPPES |
| 100270140G | Medicaid | IN | |
| 326003 | Other | IN | VALUE OPTIONS |
| 000000574042 | Other | IN | ANTHEM PIN FOR THIS LOCATION |
| 100270140M | Medicaid | IN | |
| 165526 | Other | IN | MHN GROUP |
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