| NPI | 1154084358 |
|---|---|
| Doing Business As | GOOD SAMARITAN FAMILY PRACTICE 120 |
| Entity Type | Organization |
| Authorized Contact | ROBERT MCLIN CEO 812-882-5220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-06-12 |