| Samaritan Center - Transportation | |
|
515 Bayou St Vincennes IN 47591-1034 | |
| (812) 886-6800 | |
| (812) 886-6809 |
| Full Name | Samaritan Center - Transportation |
|---|---|
| Speciality | Private Vehicle |
| 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 - Transportation 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Samaritan Center - Transportation 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 |
| NPI Number | 1952579195 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952579195 | NPI | - | NPPES |
| 200089590A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4030CMHC (Indiana) | Secondary |
| 347C00000X | Private Vehicle | (Indiana) | Primary |
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