| Good Samaritan Clinic | |
|
418 Grand Park Drive Suite 311 Parkersburg WV 26105-4000 | |
| (304) 834-3986 | |
| (304) 834-3987 |
| Full Name | Good Samaritan Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 418 Grand Park Drive, Parkersburg, West Virginia |
| Authorized Official Name and Position | Cynthia Sue Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3048343986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Clinic 418 Grand Park Drive Suite 311 Parkersburg WV 26105-4000 Ph: (304) 834-3986 | Good Samaritan Clinic 418 Grand Park Drive Suite 311 Parkersburg WV 26105-4000 Ph: (304) 834-3986 |
| NPI Number | 1902156482 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902156482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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