NPI | 1043270424 |
---|---|
Doing Business As | SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON |
Entity Type | Organization |
Authorized Contact | JEREMY BRADFORD President 618-899-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IL 0004705) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2023-11-27 |