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GOOD SAMARITAN FREE CLINIC
NPI 1114150893
Clinic/Center - Primary Care in Moline, IL

Active since August 28, 2009
602 35TH AVE, MOLINE, IL 61265(309) 797-4688(309) 797-6118 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Good Samaritan Free Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN FREE CLINIC (NPI 1114150893) is a healthcare organization registered as a primary care in Moline, Illinois and active in the NPI registry since August 2009. The organization lists Kerry Humes, Director, as its authorized official.

NPPES Registry Identity

NPI1114150893
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOOD SAMARITAN FREE CLINIC
Location Address602 35TH AVEMoline, IL 61265-6145
Mailing Address602 35th AveMoline, IL 61265-6145 · (309) 797-4688 · Fax (309) 797-6118
Phone(309) 797-4688
Fax(309) 797-6118
Organization SubpartNo
Authorized OfficialKerry HumesDirector · (309) 797-4688
Enumeration DateAugust 28, 2009
✔ NPI 1114150893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036088031
602 35TH AVE, Moline, IL 61265
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Free Clinic's NPI number?

The NPI number for Good Samaritan Free Clinic is 1114150893. It was assigned to this organization in the NPPES registry on August 28, 2009.

Where is Good Samaritan Free Clinic located?

Good Samaritan Free Clinic is located at 602 35th Ave, Moline, IL 61265. The listed phone number is (309) 797-4688.

What is Good Samaritan Free Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Good Samaritan Free Clinic was last updated on August 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.