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Good Samaritan House of Granite City, Inc

Adolescent and Children Mental Health Clinic/Center in Granite City, IL · enumerated 2018 · authorized official Latosha Davis, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134612054

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Registry record

Entity type Organization (Type 2)
Legal business name Good Samaritan House of Granite City, Inc
Practice address 1825 Delmar Ave, Granite City, IL, 62040
Phone (618) 876-0607
Enumeration date Jun 14, 2018
Last updated in NPPES Jun 14, 2018

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 149.019998 (IL) Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 149.019998 (IL) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License 149.019998 (IL) Primary

Authorized official

Name Latosha Davis
Title Executive Director
Phone (618) 219-9513

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Good Samaritan House of Granite City, Inc?
The NPI for Good Samaritan House of Granite City, Inc is 1134612054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Good Samaritan House of Granite City, Inc?
NPPES lists Latosha Davis (Executive Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-14.