Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GOOD SAMARITAN REGIONAL HEALTH CENTER
Active
Organization
GOOD SAMARITAN REGIONAL HEALTH CENTER
Active
Other names
Good Samaritan Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELL R. ELLIS (PHARMACIST IN CHARGE)
(618) 899-4999
Entity
Organization
Contact information
Practice address
2 GOOD SAMARITAN WAY, SUITE 120, MOUNT VERNON, IL 62864-2475
(618) 899-4999
(618) 899-4799
Mailing address
2 GOOD SAMARITAN WAY, SUITE 120, MOUNT VERNON, IL 62864-2475
(618) 899-4999
(618) 899-4799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.018065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487556
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2012
Last updated
02/28/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers