OrganizationActive
Good Samaritan Free Clinic
NPI 1114150893 · Primary Care Clinic/Center · Moline, IL
Provider details
- NPI number
- 1114150893
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerry Humes, Director(309) 797-4688
- License
- 036088031 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
602 35th Ave
Moline, IL 61265-6145
Phone: (309) 797-4688
Fax: (309) 797-6118
Street-level locationGet directions
Mailing address
602 35th Ave
Moline, IL 61265-6145
Registry dates
- Enumerated
- 2009-08-28
- Last updated
- 2009-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.