GOOD SAMARITAN HOSPITAL (NPI# 1376900985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376900985 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | GSH BICKNELL DIAGNOSTIC CENTER |
| Practice Address |
510 W 11th St Bicknell IN 47512-9626 |
| Mailing Address |
520 S 7th St Vincennes IN 47591-1038 |
| Practice Telephone | 8127354040 |
| Practice Fax Number | 8127353332 |
| Mailing Telephone | 8128853333 |
| Mailing Fax Number | 8128853737 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | ROBERT D MCLIN (CEO) |
| Authorized Official Telephone | 8128853333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 16-005038-1 | 01 |
| Other Name | Type Code |
|---|---|
| GSH Bicknell Diagnostic Center | 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 |
| 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 |
| New York State Corporations | GOOD SAMARITAN HOSPITAL OF SUFFERN, N.Y. | Pres/chief Executive Officer, 255 Lafayette Ave, Suffern, New York 10901 |
| Street Address |
510 W 11TH ST |
| City | BICKNELL |
| State | IN |
| Zip Code | 47512-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894621 | Tom S Kirkwood | Family Medicine | 510 W 11th St, Bicknell, IN 47512-9626 | 2005-07-14 |
| 1093700577 | Bicknell Medical Center Professional Corporation | Family Medicine | 510 W 11th St, Bicknell, IN 47512-9626 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033697206 | Stephen K Williams Dds PC | Dentist | 511 W 11th St, Bicknell, IN 47512 | 2018-07-31 |
| 1386776466 | D Craig Scott | Dentist | 302 Washington St, Bicknell, IN 47512 | 2007-03-12 |
| 1295789022 | Guardian Angel Home Health Care, Inc | Home Health | 11617 E Sr 67, Bicknell, IN 47512-0095 | 2006-05-19 |
| 1932281557 | Knox County Association for Retarded Citizens, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 628 W 7th St, Bicknell, IN 47512-1104 | 2006-10-20 |
| 1578092292 | Kyle Scott | Dentist | 302 Washington St, Bicknell, IN 47512-1812 | 2017-06-06 |
| 1518218452 | Dallas Cruz Anderson | Physical Therapy Assistant | 206 Jefferson St, Bicknell, IN 47512-2618 | 2012-10-01 |
| 1902981830 | Knox County Association for Retarded Citizens, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 410 Liberty St, Bicknell, IN 47512-2831 | 2006-10-26 |
| 1427386291 | Guardian Angel Personal Services, Inc. | In Home Supportive Care | 11617 E State Road 67, Bicknell, IN 47512-8232 | 2009-12-06 |
| 1477627883 | Joyce Ann Cornelison | Physical Therapist | 11217 N Buckthal Rd, Bicknell, IN 47512-8258 | 2006-11-17 |
| 1215355441 | North Knox School Corporation | Local Education Agency (LEA) | 11110 N State Road 159, Bicknell, IN 47512-8316 | 2014-04-04 |
| Find all providers in zip 47512 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801126271 | Sherrie Anne Payne | Radiologic Technologist | 3387 E Wilson Dr, Mooresville, IN 46158-6167 | 2010-01-07 |
| 1760646731 | Chad Allen Jones | Radiologic Technologist | 3614 Saint Joe Center Rd, Fort Wayne, IN 46835-2135 | 2008-07-17 |
| 1144429721 | Stephen Scott Zaffarano | Radiologic Technologist | 10628 Virginia Ave, Indianapolis, IN 46234-3163 | 2007-07-13 |
| 1598826752 | Washington County Memorial Hospital | Radiologic Technologist | 125 Spring Meadow Cir, Salem, IN 47167-9429 | 2006-12-12 |
| 1295247815 | Kyle D Morford | Radiologic Technologist | 714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297 | 2017-11-05 |
| 1225497308 | Good Samaritan Hospital | Radiologic Technologist | 406 N 1st St, Vincennes, IN 47591-1340 | 2016-02-17 |
| 1265891881 | Good Samaritan Hospital | Radiologic Technologist | 1201 Main St, Monroe City, IN 47557-0006 | 2016-02-11 |
| 1730557810 | Tina Arnold | Radiologic Technologist | 590 Missouri Ave, Jeffersonville, IN 47130-3083 | 2015-09-08 |
| 1235475922 | Hobart Medical Solutions Inc | Radiologic Technologist | 2646 Highway Ave Ste 114, Highland, IN 46322-1662 | 2012-12-27 |
| 1538405477 | Columbus Diagnostic Imaging, LLC | Radiologic Technologist | 790 Creekview Dr, Columbus, IN 47201-2606 | 2012-12-21 |
| Find all providers with the same taxonomy | ||||
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| 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.