PS
PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MOUNT VERNON, IL
Licensed since
2012
Rate
—
Federal identifiers
NPI registry number1285980151
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients368
Authorized official
NameJOON AHN
TitleAUTHORIZED OFFICIAL - OWNER
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