St. Mary'S Good Samaritan Medical Group

LBN: Physician Services Corporation Of Southern Illinois Inc
St. Mary'S Good Samaritan Medical Group is an health care organization with primary practice located at 1003 E Mccord St , Centralia IL 62801-3345. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Physician Services Corporation Of Southern Illinois Inc can be contacted via phone (618) 436-6633, or through Evischi, Deland via phone (618) 899-1040.

Contact Information

Primary practice address
1003 E Mccord St Centralia IL 62801-3345
Phone: (618) 436-6633
Fax: (618) 242-1853
Website:
Map and Directions
Authorized official contact:
Name: Evischi, Deland
Phone: (618) 899-1040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1215320460
LBN Legal business name Physician Services Corporation Of Southern Illinois Inc
DBA Doing business as St. Mary'S Good Samaritan Medical Group
Authorized official Evischi, Deland
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2015
Last updated Mar 12th, 2015 - about 9 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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