| NPI | 1194269597 |
|---|---|
| Doing Business As | SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON |
| Entity Type | Organization |
| Authorized Contact | MATTHEW KINSELLA Regional CFO 618-899-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 0005850) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 0005850) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |