Organization · Type 2 NPI

Good Samaritan Hospital

Community/Behavioral Health Agency · Vincennes, IN

NPI number 1861660003 Active

Practice location

515 Bayou St
Vincennes, IN 47591-1034

Fax (812) 885-2729

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Psychologist	103TC0700X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician	2084P0800X	None listed
Community/Behavioral Health Agency Primary	251S00000X	4030CMHC (IN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

52 other providers at this address

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NPI record

NPI: 1861660003
Entity type: Organization (Type 2)
Issued: Feb 11, 2008
Last updated: Jan 12, 2012
Status: Active
Subpart: Yes of Good Samaritan Hospital

Other names

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Samaritan Center - 5th ST · doing business as

Authorized official

John Manning
Chief Operating Officer
(812) 885-2709

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861660003

Good Samaritan Hospital's National Provider Identifier is 1861660003, issued on Feb 11, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Vincennes, IN. The record was last updated on Jan 12, 2012.