Good Samaritan Free Clinic

NPI #1114150893 in Moline, Illinois

Provider Information

NPI Number
1114150893
Entity Type
Organization
Organization Name
Good Samaritan Free Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 28, 2009
Last Updated
Aug 28, 2009

Practice Location

Address
602 35TH AVE
City
Moline
ZIP Code
61265-6145
Phone
(309) 797-4688

Authorized Official

Name
DR. KERRY HUMES, M.D.
Title
DIRECTOR
Phone
(309) 797-4688

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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