Organization
GOOD SAMARITAN REGIONAL HEALTH CENTER
Active
Parent organization
GOOD SAMARITAN REGIONAL HEALTH CENTER
Other names
Good Samaritan Hospitalist Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN REGIONAL HEALTH CENTER
Authorized official
MR. DEE EVISCHI (VP FINANCIAL SERVICES)
(618) 899-1040
Entity
Organization
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-4600
Mailing address
211 S LINCOLN BLVD, CENTRALIA, IL 62801-3655
(618) 436-6057
(618) 532-9365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
01/20/2013
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