Good Samaritan Regional Health Center

NPI #1134457955 in Mount Vernon, Illinois

Provider Information

NPI Number: 1134457955
Entity Type: Organization
Organization Name: Good Samaritan Regional Health Center
Subpart: Yes (part of a larger organization)
Parent Organization: GOOD SAMARITAN REGIONAL HEALTH CENTER
Primary Specialty: Specialist
Enumeration Date: Dec 7, 2009
Last Updated: Jan 20, 2013

Practice Location

Address: 1 GOOD SAMARITAN WAY
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2402
Phone: (618) 899-4600

Authorized Official

Name: MR. DEE EVISCHI
Title: VP FINANCIAL SERVICES
Phone: (618) 899-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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