| Samaritan Center - Willows | |
|
1901 Willow St Vincennes IN 47591-4277 | |
| (812) 885-2720 | |
| (812) 885-2723 |
| Full Name | Samaritan Center - Willows |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 Willow 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 - Willows 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Samaritan Center - Willows 1901 Willow St Vincennes IN 47591-4277 Ph: (812) 885-2720 |
| NPI Number | 1417956152 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417956152 | NPI | - | NPPES |
| 000000574020 | Other | IN | ATHEM PIN FOR THIS LOCATION |
| 100270140G | Medicaid | IN | |
| 100270140D | Medicaid | IN | |
| 165526 | Other | IN | MHN |
| 192453000 | Other | IN | MAGELLAN |
| 301936 | Other | IN | VALUE OPTIONS FACILITY |
| 200898460A | Medicaid | IN |
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