GOOD SAMARITAN FAMILY HEALTH CENTER INC NPI 1033827621

NPI Information

NPI: 1033827621
Provider Name: GOOD SAMARITAN FAMILY HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D0698642

Address:
2007 STATE ST
WASHINGTON, IN
ZIP 47501
Phone: (812) 254-1558
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GOOD SAMARITAN FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Washington, IN. GOOD SAMARITAN FAMILY HEALTH CENTER, INC NPI is 1033827621. The provider is registered as an organization entity type.

The provider's business location address is:

2007 STATE ST
WASHINGTON, IN
ZIP 47501-505
Phone: (812) 254-1558
Fax: (812) 885-8307

The provider's authorized official is Jennifer Emmons .
The authorized official title is Ceo and has the following contact phone number (812) 494-7800.

The CLIA number assigned to this NPI record is 15D0698642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2022 and was last updated on 3/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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