NPI 1043270424

Good Samaritan Regional Health Center

Organisation Rehabilitation Hospital Unit Mount Vernon, IL

Practice location

Address: 1 Good Samaritan Way, Mount Vernon, IL 62864-2402
Phone: (618) 242-4600
Mailing address: PO Box 503927, Saint Louis, MO 63150-0001

Authorised official

Name: Jeremy Bradford
Title: President
Phone: (618) 899-1001

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence 0004705 (IL)

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Registry record

NPI: 1043270424
Entity type: Organization
NPI issued: 28 Mar 2006
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.