Good Samaritan Free Clinic

LBN: Good Samaritan Free Clinic
Good Samaritan Free Clinic is an health care organization with primary practice located at 602 35Th Ave , Moline IL 61265-6145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Good Samaritan Free Clinic can be contacted via phone (309) 797-4688, or through Humes, Kerry via phone (309) 797-4688.

Contact Information

Primary practice address
602 35Th Ave Moline IL 61265-6145
Phone: (309) 797-4688
Fax: (309) 797-6118
Website:
Map and Directions
Authorized official contact:
Name: Humes, Kerry Doctor of Medicine (MD)
Phone: (309) 797-4688

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036088031 Illinois

Profile Details

NPI number 1114150893
LBN Legal business name Good Samaritan Free Clinic
DBA Doing business as
Authorized official Humes, Kerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2009
Last updated Aug 28th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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