GOOD SAMARITAN HOSPITAL (NPI# 1952309528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952309528 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | SAMARITAN CENTER - PETERSBURG |
| Practice Address |
611 E Main St Suite 110 Petersburg IN 47567-1267 |
| Mailing Address |
515 Bayou St Vincennes IN 47591-1034 |
| Practice Telephone | 8123548785 |
| Practice Fax Number | 8123548786 |
| Mailing Telephone | 8128866800 |
| Mailing Fax Number | 8128866809 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MR. JOHN MANNING (VP BEHAVIORAL HEALTH/SPEC PROJECTS) |
| Authorized Official Telephone | 8128866800 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SAMARITAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 4030 | IN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4030 | IN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
4030 | IN | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4030 | IN | Allopathic & Osteopathic Physicians |
| Y | 251S00000X | Community/Behavioral Health | 4030CMHC | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MAGELLAN | 192466000 | 01 |
| IN | VALUE OPTIONS FACILITY | 301936 | 01 |
| IN | MHN GROUP | 165526 | 01 |
| IN | 100270140G | 05 | |
| IN | ANTHEM PIN FOR THIS LOCATION | 000000574039 | 01 |
| IN | 100270140C | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Center - Petersburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830776 | Good Samaritan Hospital | Pharmacy | 1245 Wilshire Blvd Ste 201, Los Angeles, CA 90017-4812 | 2019-03-18 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| 1932503653 | Good Samaritan Hospital | General Acute Care Hospital | 32430 Nautilus Dr, Rancho Palos Verdes, CA 90275-6002 | 2014-10-09 |
| 1295163293 | Good Samaritan Hospital | General Acute Care Hospital | 4th and Walnut St., Good Samaritan Hospital, Lebanon, PA 17042-9171 | 2013-10-29 |
| 1184930737 | Good Samaritan Hospital | Skilled Nursing Facility | 714 S Eickhoff Rd, Evansville, IN 47712-9060 | 2010-08-20 |
| 1164757803 | Good Samaritan Hospital | General Acute Care Hospital | 235 Hillcrest Dr, Cincinnati, OH 45215-2609 | 2009-10-14 |
| 1811146681 | Good Samaritan Hospital | Skilled Nursing Facility | 1701 Mcdowell Rd, Evansville, IN 47712-5431 | 2008-09-16 |
| 1265696231 | Good Samaritan Hospital | General Acute Care Hospital | 531 Belmonte Park N Apt 608, Dayton, OH 45405-4713 | 2008-07-17 |
| 1457540387 | Good Samaritan Hospital | Family Medicine | 115 N Boone St, Olney, IL 62450-2109 | 2007-10-16 |
| 1487731477 | Good Samaritan Hospital | Skilled Nursing Facility | 801 E Illinois St, Petersburg, IN 47567-8026 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
| Washington State Corporations | GOOD SAMARITAN HOSPITAL | 407 14th Ave Se, Puyallup, WA 98372 |
| Indiana Business Entities | GOOD SAMARITAN HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL AUXILIARY | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION, CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97339 |
| Indiana Business Entities | GOOD SAMARITAN HOSPITAL FOUNDATION, INC. | 520 S. 7th St., Vincennes, IN 47591 |
| New York State Corporations | GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 1000 Montauk Highway, West Islip, New York 11795 |
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL OF CINCINNATI | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Street Address |
611 E MAIN ST SUITE 110 |
| City | PETERSBURG |
| State | IN |
| Zip Code | 47567-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639572829 | Good Samaritan Hospital Physician Services, Inc | Family Medicine | 611 E Main St, Suite 110, Petersburg, IN 47567-1270 | 2014-10-01 |
| 1144388505 | Daviess County Hospital | Clinic/Center | 611 E Main St, Petersburg, IN 47567-1247 | 2006-12-05 |
| 1366553786 | Melody Anderson | Social Worker | 611 E Main St, Suite 110, Petersburg, IN 47567-1267 | 2006-08-31 |
| 1902873946 | Honesto K Fenol Jr. | Family Medicine | 611 E Main St, Ste 110, Petersburg, IN 47567-1270 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982825220 | Pike County School Corp | Local Education Agency (LEA) | 907 Walnut Street, Petersburg, IN 47567 | 2007-05-02 |
| 1689770083 | Little Company of Mary Hospital of Indiana, Inc | Clinic/Center | 1003 E Illinois St, Petersburg, IN 47567 | 2006-09-15 |
| 1174700876 | Renee Abrassart Ramsey | Optometrist | 102 S 2nd St, Petersburg, IN 47567 | 2008-01-24 |
| 1205009206 | Greene Specific Chiropractic Clinic PC | Chiropractor | 712 E Main St, Petersburg, IN 47567-1231 | 2008-04-10 |
| 1821200460 | Robert C Greene | Chiropractor | 712 E Main St, Petersburg, IN 47567-1231 | 2007-05-04 |
| 1407005937 | Amber D Russell | Social Worker | 400 E Main St, Petersburg, IN 47567-1245 | 2008-09-09 |
| 1437195559 | Deborah Kay Terrell | Registered Nurse | 400 E Main St, Petersburg, IN 47567-1245 | 2006-06-20 |
| 1801873278 | Betty L Harper | Social Worker | 400 E Main St, Petersburg, IN 47567-1245 | 2005-12-28 |
| 1417048281 | Renee T Abrassant Ramsey | Optometrist | 601 E Main St, Petersburg, IN 47567-1247 | 2006-09-27 |
| 1285885442 | Pike County Health Department | Public Health or Welfare | 801 E Main St, Petersburg, IN 47567-1249 | 2008-10-07 |
| Find all providers in zip 47567 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
| 1003342445 | Commonwealth Day Support | Community/Behavioral Health | 500 S Sycamore St, Petersburg, VA 23803-5046 | 2017-05-04 |
| 1356899652 | Armos | Community/Behavioral Health | 43 Rives Rd Bsmt, Petersburg, VA 23805-9255 | 2016-09-14 |
| 1427403476 | First Step Service LLC | Community/Behavioral Health | 20 E Tabb St Ste 204, Petersburg, VA 23803-4560 | 2016-04-27 |
| 1932560927 | Heavenly Touch Counseling Service LLC. | Community/Behavioral Health | 1035 Gustavo Ln, Petersburg, VA 23805-2356 | 2016-03-17 |
| 1578972139 | Alternative Behavioral Concepts, LLC | Community/Behavioral Health | 441 Harding St, Petersburg, VA 23803-5019 | 2014-08-07 |
| 1780929364 | Centel Healthcare Inc | Community/Behavioral Health | 803 Hinton St, Suite 308, Petersburg, VA 23803-3028 | 2012-12-07 |
| 1760789200 | Extreme Counseling Solutions | Community/Behavioral Health | 811 Logan St, Petersburg, VA 23803-3329 | 2011-02-18 |
| 1861796039 | Envision One | Community/Behavioral Health | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2011-01-03 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 47567 |
Please comment or provide details below to improve the information on GOOD SAMARITAN HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.