GOOD SAMARITAN REGIONAL HEALTH CENTER (NPI# 1316282163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316282163 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Other Organization Name | GOOD SAMARITAN PLAZA PHARMACY |
| Practice Address |
2 Good Samaritan Way Suite 120 Mount Vernon IL 62864-2475 |
| Practice Telephone | 6188994999 |
| Practice Fax Number | 6188994799 |
| Mailing Telephone | 6188994999 |
| Mailing Fax Number | 6188994799 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | MICHELL R. ELLIS (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 6188994999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.018065 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1487556 | 01 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Plaza Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194269597 | Good Samaritan Regional Health Center | Anesthesiology | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-12-05 |
| 1134457955 | Good Samaritan Regional Health Center | Specialist | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2009-12-07 |
| 1487758801 | Good Samaritan Regional Health Center | Physical Medicine & Rehabilitation | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2006-09-08 |
| 1609897339 | Good Samaritan Regional Health Center | Psychiatric Unit | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2006-07-21 |
| 1043270424 | Good Samaritan Regional Health Center | Rehabilitation Unit | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2006-03-28 |
| Street Address |
2 GOOD SAMARITAN WAY SUITE 120 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718900 | Ssm Health Businesses | Hospice Care, Community Based | 2 Good Samaritan Way, Suite 325, Mount Vernon, IL 62864-2408 | 2005-05-24 |
| 1417573734 | Scherrie Lynn Medina | Registered Nurse | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2020-06-23 |
| 1245711779 | Mary K Mcgarvey | Occupational Therapy Assistant | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2018-08-23 |
| 1831611334 | Patricia Isabel Calcetto | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2017-07-17 |
| 1821548207 | Nicole Vetter | Nurse Practitioner | 2 Good Samaritan Way, Medical Plaza Suite 420, Mount Vernon, IL 62864-2408 | 2016-10-10 |
| 1740654821 | Kathryn Flanigan | Speech-Language Pathologist | 2 Good Samaritan Way, 3rd Floor, Mount Vernon, IL 62864-2408 | 2015-11-30 |
| 1275900656 | Christopher Bourget | Registered Nurse | 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 | 2015-09-01 |
| 1992188338 | Carl Robert Davis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | 2015-07-02 |
| 1871919845 | Michell R Ellis | Pharmacist | 2 Good Samaritan Way, Suite 120, Mount Vernon, IL 62864-2408 | 2014-03-13 |
| 1548685647 | Rebecca Breanne Ritchey | Speech-Language Pathologist | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545571 | Medlife Pharmacy LLC | Pharmacy | 213 Highway 37 Ste 200&300, Mount Vernon, TX 75457-3106 | 2020-07-10 |
| 1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
| 1811040918 | Brown & Cole Stores LLC | Pharmacy | 1515 N 18th St, Mount Vernon, WA 98273-2675 | 2007-01-19 |
| 1649374695 | Marco Pharmacy and Optical Inc | Pharmacy | 4121 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-09-12 |
| 1992808695 | Hook Superx LLC | Pharmacy | 700 E 4th St, Mount Vernon, IN 47620-2011 | 2006-09-07 |
| 1467555235 | Highland Park Cvs, L.L.C. | Pharmacy | 2700 Broadway St, Mount Vernon, IL 62864-2342 | 2006-09-07 |
| 1316970650 | Haggen, Inc | Pharmacy | 2601 E Division St, Mount Vernon, WA 98274-4748 | 2006-07-09 |
| 1417923012 | Mt Vernon Community Pharmacy Inc | Pharmacy | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-02-24 |
| 1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
| 1639644156 | Mabd Enterprises, LLC | Pharmacy | 115 W Spring St, Mount Vernon, GA 30445-2957 | 2018-10-11 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on GOOD SAMARITAN REGIONAL HEALTH CENTER.
| 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.