Provider First Line Business Practice Location Address:
GOOD SAMARITAN REGIONAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
605 N 12 ST
Provider Business Practice Location Address City Name:
MT VERNON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-242-4600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2006