| |
106 W Pike Ave Petersburg IN 47567-8750 | |
(812) 354-1052 | |
(812) 354-8280 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 106 W Pike Ave, Petersburg, Indiana |
Authorized Official Name and Position | Cheryl A Wathen (CFO) |
Authorized Official Contact | 8124503296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1510 Evansville IN 47706-1510 Ph: (812) 354-1052 | 106 W Pike Ave Petersburg IN 47567-8750 Ph: (812) 354-1052 |
NPI Number | 1831345792 |
---|---|
Provider Enumeration Date | 08/12/2008 |
Last Update Date | 08/10/2017 |
Medicare PECOS PAC ID | 3375610116 |
---|---|
Medicare Enrollment ID | O20080929000384 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831345792 | NPI | - | NPPES |
Good Samaritan Hospital Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St, Suite 110, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 E State Road 56, Petersburg, IN 47567 Phone: 810-494-9515 Fax: 812-494-9514 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786 |