| Samaritan Center - Waiver | |
|
1901 Willow St Vincennes IN 47591-4277 | |
| (812) 885-2709 | |
| (812) 885-2729 |
| Full Name | Samaritan Center - Waiver |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 Willow 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 - Waiver 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Samaritan Center - Waiver 1901 Willow St Vincennes IN 47591-4277 Ph: (812) 885-2709 |
| NPI Number | 1871761015 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871761015 | NPI | - | NPPES |
| 200898460A | Medicaid | IN |
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