GOOD SAMARITAN HOSPITAL NPI 1538508676

NPI Information

  • NPI: 1538508676
  • Provider Name: GOOD SAMARITAN HOSPITAL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: MEDICAL HOME
  • Address: 429 S 6TH ST
    VINCENNES, IN
    ZIP 47591
  • Phone: (812) 885-3703

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NPI Details

GOOD SAMARITAN HOSPITAL is a family nurse practitioner in Vincennes, IN. GOOD SAMARITAN HOSPITAL NPI is 1538508676. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Home.

The provider's business location address is:

429 S 6TH ST
VINCENNES, IN
ZIP 47591-022
Phone: (812) 885-3703
Fax: (812) 885-3707

The provider's authorized official is Robert D Mclin .
The authorized official title is Ceo and has the following contact phone number (812) 885-3333.

The enumeration date for this NPI number is 6/21/2013 and was last updated on 11/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareNo
2363LA2200XNurse PractitionerAdult HealthNo
3207R00000XInternal MedicineNo
4363L00000XNurse PractitionerNo
5207Q00000XFamily MedicineNo
6363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1941140MEDICARE PININDIANA
2100270150MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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