| Good Samaritan Free Clinic | |
|
602 35th Ave Moline IL 61265-6145 | |
| (309) 797-4688 | |
| (309) 797-6118 |
| Full Name | Good Samaritan Free Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 602 35th Ave, Moline, Illinois |
| Authorized Official Name and Position | Kerry Humes (DIRECTOR) |
| Authorized Official Contact | 3097974688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Free Clinic 602 35th Ave Moline IL 61265-6145 Ph: (309) 797-4688 | Good Samaritan Free Clinic 602 35th Ave Moline IL 61265-6145 Ph: (309) 797-4688 |
| NPI Number | 1114150893 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114150893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036088031 (Illinois) | Primary |
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