| Good Samaritan Family Health Center, Inc | |
|
1810 E State Road 56 Petersburg IN 47567-8378 | |
| (810) 494-9515 | |
| (812) 494-9514 |
| Full Name | Good Samaritan Family Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1810 E State Road 56, Petersburg, Indiana |
| Authorized Official Name and Position | Jennifer Emmons (CEO) |
| Authorized Official Contact | 8124949501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 1810 E State Road 56 Petersburg IN 47567-8378 Ph: (810) 494-9515 |
| NPI Number | 1710744263 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710744263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Petersburg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 E State Road 56 Fl 1, Petersburg, IN 47567 Phone: 812-494-9514 Fax: 812-494-9515 | |
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 | |
Petersburg Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 E Illinois St, Petersburg, IN 47567 Phone: 812-354-3458 Fax: 812-354-3459 | |
Deaconess Medical Group - Petersburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Pike Ave, Petersburg, IN 47567 Phone: 812-354-1052 Fax: 812-354-8280 | |
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 |