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1639176373

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
1	103TC0700X	Clinical Psychologist	4030	IN
2	2084P0800X	Psychiatry Physician	4030	IN
3	1041C0700X	Clinical Social Worker	4030	IN
4	104100000X	Social Worker	4030	IN
5	101YM0800X	Mental Health Counselor	4030	IN
6	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000574011	OTHER	IN	ANTHEM PIN FOR THIS LOCATION
2	301936	OTHER	IN	VALUE OPTIONS FACILITY
3	165526	OTHER	IN	MHN GROUP
4	065089000	OTHER	IN	MAGELLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639176373
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	:	812-885-3292
Fax Number	:	812-885-3928

Provider Business Practice Location Address
First Line	:	520 S 7TH ST
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-1038
Country	:	US
Telephone Number	:	812-885-3292
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ADAM THACKER
Credential	:
Telephone Number	:	812-882-5220

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/14/2026

Similar Medicare Providers

1659853273 — KELSEY DAWN MCCASLIN NP-C
Practice Location Address:

520 S 7TH ST
VINCENNES, IN
47591-1038

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1821931700 — MUHAMMAD AHMAD FAHIM MBBS
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520 S 7TH ST
VINCENNES, IN
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1225032881 — GOOD SAMARITAN HOSPITAL
Practice Location Address:

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VINCENNES, IN
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1649432071 — GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Practice Location Address:

520 S 7TH ST
VINCENNES, IN
47591-1038

Practice Phone: 812-885-3333
Practice Fax: 812-885-3737

1770575201 — GOOD SAMARITAN HOSPITAL
Practice Location Address:

520 S 7TH STREET
VINCENNES, IN
47591-1038

Practice Phone: 812-882-5220
Practice Fax: 812-885-3917

1225020605 — GOOD SAMARITAN HOSPITAL
Practice Location Address:

520 S 7TH ST
VINCENNES, IN
47591-1038

Practice Phone: 812-882-5220
Practice Fax: 812-885-3917

Directions to “GOOD SAMARITAN HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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