| Good Samaritan Family Health Center, Inc | |
|
10890 N State Road 159 Rm E20 Bicknell IN 47512-8184 | |
| (812) 885-2720 | |
| (812) 885-2723 |
| Full Name | Good Samaritan Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10890 N State Road 159 Rm E20, Bicknell, Indiana |
| Authorized Official Name and Position | Jennifer Emmons (CEO) |
| Authorized Official Contact | 8124949501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Health Center, Inc Po Box 556 Vincennes IN 47591-0556 Ph: (812) 494-9501 | Good Samaritan Family Health Center, Inc 10890 N State Road 159 Rm E20 Bicknell IN 47512-8184 Ph: (812) 885-2720 |
| NPI Number | 1336919562 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 5294099321 |
|---|---|
| Medicare Enrollment ID | O20240424001491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336919562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bicknell Medical Center Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 W 11th St, Bicknell, IN 47512 Phone: 812-735-4040 Fax: 812-735-3332 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E 4th St Fl 1, Bicknell, IN 47512 Phone: 812-885-2720 Fax: 812-885-2723 |