Organization · Type 2 NPI
Good Samaritan Free Clinic
Primary Care Clinic/Center · Moline, IL
NPI number
1114150893
Active
Practice location
602 35th Ave
Moline, IL 61265-6145
Fax (309) 797-6118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036088031 (IL) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Moline
About NPI 1114150893
Good Samaritan Free Clinic's National Provider Identifier is 1114150893, issued on Aug 28, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Moline, IL. The record was last updated on Aug 28, 2009.