Good Samaritan Clinic of Washington County Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GOOD SAMARITAN CLINIC OF WASHINGTON COUNTY INC.

Practice address

2524 E Alexander St
Greenville, MS 38703-3330

Phone

(662) 347-3034

NPI assigned

Nov 6, 2015

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Anderson

Title

Ceo

Phone

(662) 347-3034

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1205209608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270231",
            "telephone_number": "770-672-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E ALEXANDER ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033330",
            "telephone_number": "662-347-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN CLINIC OF WASHINGTON COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-347-3034"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Barry Gillespie, M.D.
• Gregg A Gober, MD
• Sarah Elizabeth Goff, APRN
• Golden Embrace Home Care
• Golden Journey Transit LLC
• Victoria Goodman, PHARMD
• Grace Covenant Services, LLC
• Carolyn Williams Grant, MSW,PCMHT
• Green Leaf Home Care, L.L.C
• Lemarrick Green, MHT

• Adult Mental Health Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.