St Marys Good samaritan Medical Group – Rural Health Clinic/Center, NPI 1619109543

St Marys Good samaritan Medical Group is a healthcare provider. based in Mount vernon, Illinois. specializing in Rural Health Clinic/Center. The NPI Number for St Marys Good samaritan Medical Group is 1619109543

Main info

Organization
Name
St Marys Good samaritan Medical Group
NPI
1619109543
Phone
(618) 532-3950
Address
413 MAIN ST
Authorized Official
MR. RICHARD HUNTINGTON VP FINANCIAL DEVELOPMENT
Enumeration Date
11 August 2009
Last Update Date
11 August 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for St Marys Good samaritan Medical Group

  • 413, Main Street, Mount Vernon, Skagit County, Washington, 98273, United States

    MOUNT VERNON, IL 628643649

    Phone: (618) 532-3950

    Fax: (618) 532-9365

    Type: Mailing

  • 1250, West Whittaker Street, Salem, Marion County, Illinois, 62881, United States

    SALEM, IL 628811917

    Phone: (618) 532-3950

    Fax: (618) 532-9365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

How do payers reference St Marys Good samaritan Medical Group?
For St Marys Good samaritan Medical Group, use NPI 1619109543 as the unique 10-digit identifier.
Active or inactive — what applies to St Marys Good samaritan Medical Group?
You should see St Marys Good samaritan Medical Group as active in CMS-hosted NPPES data.
How would a patient describe St Marys Good samaritan Medical Group's focus?
For St Marys Good samaritan Medical Group, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is St Marys Good samaritan Medical Group located near Mount Vernon?
St Marys Good samaritan Medical Group currently maps to Mount Vernon, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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