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1805 S State Road 57 Washington IN 47501-4326 | |
(812) 254-7845 | |
(812) 254-5989 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1805 S State Road 57, Washington, Indiana |
Authorized Official Name and Position | Anthony Showalter (PRESIDENT OF THE BOARD OF DIRECTORS) |
Authorized Official Contact | 8122542760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 760 Washington IN 47501-0760 Ph: (812) 254-7310 | 1805 S State Road 57 Washington IN 47501-4326 Ph: (812) 254-7845 |
NPI Number | 1023340965 |
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Provider Enumeration Date | 02/03/2010 |
Last Update Date | 01/02/2021 |
Medicare PECOS PAC ID | 1557271665 |
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Medicare Enrollment ID | O20030620000015 |
Identifier | Type | State | Issuer |
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1023340965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N E 6th Street, Washington, IN 47501 Phone: 812-494-9514 Fax: 812-494-9515 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2007 State St, Washington, IN 47501 Phone: 812-254-1558 Fax: 812-885-8307 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 E Walnut St, Washington, IN 47501 Phone: 812-494-9514 Fax: 812-494-9515 |