| Good Samaritan Family Practice 110 | |
|
406 N 1st St Ste A Vincennes IN 47591-1358 | |
| (812) 885-6840 | |
| (812) 885-6841 |
| Full Name | Good Samaritan Family Practice 110 |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 406 N 1st St Ste A, Vincennes, Indiana |
| Authorized Official Name and Position | Robert Mclin (CEO) |
| Authorized Official Contact | 8128825220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Practice 110 1160 E Saint Clair St Vincennes IN 47591-4853 Ph: (812) 885-3325 | Good Samaritan Family Practice 110 406 N 1st St Ste A Vincennes IN 47591-1358 Ph: (812) 885-6840 |
| NPI Number | 1396408407 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396408407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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