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Organization

GOOD SAMARITAN FREE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERRY HUMES M.D. (DIRECTOR)
(309) 797-4688
Entity
Organization

Contact information

Practice address
602 35TH AVE, MOLINE, IL 61265-6145
(309) 797-4688
(309) 797-6118
Mailing address
602 35TH AVE, MOLINE, IL 61265-6145
(309) 797-4688
(309) 797-6118

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036088031
IL

Other

Enumeration date
08/28/2009
Last updated
08/28/2009
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