| NPI | 1548264237 |
|---|---|
| Doing Business As | ST MARYS GOOD SAMARITAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD HUNTINGTON VP Financial Development 618-241-2204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 0004705) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2009-04-02 |