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General NPI Number Information
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NPI Number | 1548177207
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN FAMILY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 450 N. MAIN ST.
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City | MONTGOMERY
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State | IN
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Zip | 47558-4525
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Country | US
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Telephone | 812-254-8300
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Fax | 812-254-8301
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Provider Business Mailing Address
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Address Line | PO BOX 556
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City | VINCENNES
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State | IN
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Zip | 47591-0556
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Country | US
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Telephone | 812-494-9501
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Fax | 812-494-9502
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER EMMONS
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Credential |
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Telephone | 812-494-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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