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GOOD SAMARITAN HEALTH CLINIC NPI 1871717439


NPI Information

NPI: 1871717439
Provider Name: GOOD SAMARITAN HEALTH CLINIC

Doing Business As: GOOD NEWS MINISTRIES

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 15D0983210

Address:
2716 E. WASHINGTON STREET
INDIANAPOLIS, IN
ZIP 46206
Phone: (317) 638-2862
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GOOD SAMARITAN HEALTH CLINIC is a health service clinic center in Indianapolis, IN. GOOD SAMARITAN HEALTH CLINIC NPI is 1871717439. The provider is registered as an organization entity type.
The provider Is Doing Business As Good News Ministries.

The provider's business location address is:

2716 E. WASHINGTON STREET
INDIANAPOLIS, IN
ZIP 46206-871
Phone: (317) 638-2862
Fax: (317) 263-9907

The provider's authorized official is Daniel J. Evans .
The authorized official title is Executive Director and has the following contact phone number (317) 638-2862.

The CLIA number assigned to this NPI record is 15D0983210 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth Service261QH0100XINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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