Organization
GOOD SAMARITAN FAMILY HEALTH CENTER, INC
Active
Parent organization
-
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
JENNIFER EMMONS (CEO)
(812) 494-7800
Entity
Organization
Contact information
Practice address
300 N 1ST ST, VINCENNES, IN 47591-1252
(812) 885-2718
(812) 885-2727
Mailing address
PO BOX 556, VINCENNES, IN 47591-0556
(812) 494-9501
(812) 494-9502
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/17/2022
Last updated
03/25/2024
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