Organization · Type 2 NPI
Good Samaritan Hospital
Community/Behavioral Health Agency · Petersburg, IN
Practice location
611 E Main St, Suite 110
Petersburg, IN 47567-1267
Fax (812) 354-8786
Mailing address
515 Bayou St
Vincennes, IN 47591-1034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 4030 (IN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4030 (IN) |
| Clinical Social Worker | 1041C0700X | 4030 (IN) |
| Psychiatry Physician | 2084P0800X | 4030 (IN) |
| 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…
2 other providers at this address
About NPI 1952309528
Good Samaritan Hospital's National Provider Identifier is 1952309528, issued on Jul 8, 2005. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Petersburg, IN. The record was last updated on Jun 3, 2015.