Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
Welch Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D MCLIN (CEO)
(812) 885-3333
Entity
Organization
Contact information
Practice address
615 DUBOIS ST, VINCENNES, IN 47591-1048
(812) 885-8010
(812) 885-8754
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3193
(812) 885-3737
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-005038-1
LICENSE
IN
Enumeration date
02/16/2016
Last updated
02/16/2016
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