PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC is an ambulatory surgical clinic center in Mount Vernon, IL. PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC NPI is 1285980151. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Surgery Center.
The provider's business location address is:
2 GOOD SAMARITAN WAY
STE 200
MOUNT VERNON, IL
ZIP 62864-476
Phone: (618) 899-5703
Fax: (618) 899-5704
The provider's authorized official is Joon Ahn .
The authorized official title is Authorized Official - Owner and has the following contact phone number (618) 899-5703.
The CLIA number assigned to this NPI record is 14D2047582 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/30/2012 and was last updated on 4/23/2024.