Good Samaritan Mental Health Association Llc in Portland - Psychiatry
Good Samaritan Mental Health Association Llc - NPI 1154536704
Good Samaritan Mental Health Association Llc is a Psychiatry in Portland, Indiana. Good Samaritan Mental Health Association Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Good Samaritan Mental Health Association Llc is 1154536704. The last update date is 2018-11-08.
Good Samaritan Mental Health Association Llc's current location address is 500 W Votaw St, Portland, Indiana. You can contact this provider via phone number 2604187036. The mailing address for Good Samaritan Mental Health Association Llc is 500 W Votaw St, Portland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Good Samaritan Mental Health Association Llc |
|---|---|
| Address | 500 W Votaw St, Portland, Indiana |
| Phone Number | 2604187036 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ishak G Samir |
| Credentials | MD |
| Telephone Number | 2604187036 |
NPI Number Detail
| NPI Number | 1154536704 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2018-11-08 |
Provider Mailing Address Detail
| Address | 500 W Votaw St |
|---|---|
| City | Portland |
| State | Indiana (IN) |
| Post Code | 473711322 |
| Phone Number | 2604187036 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Good Samaritan Mental Health Association Llc by the Centers for Medicare & Medicaid Services?
The Good Samaritan Mental Health Association Llc has been issued the NPI (National Provider Identifier) 1154536704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Good Samaritan Mental Health Association Llc is physically located?
The Good Samaritan Mental Health Association Llc is physically situated at the following address: 500 W Votaw St, Portland, IN, 473711322.
What is Good Samaritan Mental Health Association Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Good Samaritan Mental Health Association Llc's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154536704 to Good Samaritan Mental Health Association Llc?
The Good Samaritan Mental Health Association Llc received its 1154536704 assignment from the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the details pertaining to Good Samaritan Mental Health Association Llc last refreshed?
The information related to the Good Samaritan Mental Health Association Llc, including its address, specialty, and other relevant details, was last updated on 2018-11-08.
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