| NPI | 1346402062 |
|---|---|
| Doing Business As | GOOD SAMARITAN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY President 618-332-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-07-22 |