St Marys Good Samaritan Medical Group

LBN: Physician Services Corporation Of Southern Illinois
St Marys Good Samaritan Medical Group is an health care organization with primary practice located at 4218 Lincolnshire Dr , Mount Vernon IL 62864-2156. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Physician Services Corporation Of Southern Illinois can be contacted via phone (618) 532-9350, or through Simonton, Tammy L via phone (618) 436-6267.

Contact Information

Primary practice address
4218 Lincolnshire Dr Mount Vernon IL 62864-2156
Phone: (618) 532-9350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simonton, Tammy L
Phone: (618) 436-6267

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036113387 Illinois

Profile Details

NPI number 1831337450
LBN Legal business name Physician Services Corporation Of Southern Illinois
DBA Doing business as St Marys Good Samaritan Medical Group
Authorized official Simonton, Tammy L
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 15 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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