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NPI Code Detail

MEDICARE: GOOD SAMARITAN HOSPITAL

MEDICARE: GOOD SAMARITAN HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital05-005038-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000054363OTHERINANTHEM

General Provider Information

NPI Number : 1225032881
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD SAMARITAN HOSPITAL
Provider Business Mailing Address
First Line : 520 S 7TH ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1038
Country : US
Telephone Number : 812-882-5220
Fax Number : 812-885-3917
Provider Business Practice Location Address
First Line : 520 S 7TH ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1038
Country : US
Telephone Number : 812-882-5220
Fax Number : 812-885-3917
Authorized Official
Title or Position : CEO
Name : ADAM D THACKER
Credential :
Telephone Number : 812-882-5220
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/14/2026

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Directions to “GOOD SAMARITAN HOSPITAL ” Practice Location

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