Good Samaritan House Of Granite City, Inc

LBN: Good Samaritan House Of Granite City, Inc
Good Samaritan House Of Granite City, Inc is an health care organization with primary practice located at 1825 Delmar Ave , Granite City IL 62040-4508. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Good Samaritan House Of Granite City, Inc can be contacted via phone (618) 876-0607, or through Davis, Latosha R via phone (618) 219-9513.

Contact Information

Primary practice address
1825 Delmar Ave Granite City IL 62040-4508
Phone: (618) 876-0607
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Latosha R Licensed Clinical Social Worker (LCSW)
Phone: (618) 219-9513

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 149.019998 Illinois
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 149.019998 Illinois
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 149.019998 Illinois

Profile Details

NPI number 1134612054
LBN Legal business name Good Samaritan House Of Granite City, Inc
DBA Doing business as
Authorized official Davis, Latosha R Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2018
Last updated Jun 14th, 2018 - about 6 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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