Organization
GOOD SAMARITAN REGIONAL HEALTH CENTER
Active
Other names
SSM Health Good Samaritan Hospital - Mt. Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KINSELLA (REGIONAL CFO)
(618) 899-1040
Entity
Organization
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-8000
Mailing address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0005850
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
0005850
IL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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