GOOD SAMARITAN HOSPITAL (NPI# 1790144947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790144947 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | WELCH DIABETES CENTER |
| Practice Address |
615 Dubois St Vincennes IN 47591-1048 |
| Mailing Address |
520 S 7th St Vincennes IN 47591-1038 |
| Practice Telephone | 8128858010 |
| Practice Fax Number | 8128858754 |
| Mailing Telephone | 8128853193 |
| Mailing Fax Number | 8128853737 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| 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 |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 16-005038-1 | 01 |
| Other Name | Type Code |
|---|---|
| Welch Diabetes 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 |
| 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 |
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC. | 520 S 7th St, Vincennes, IN 47591-1038 |
| Street Address |
615 DUBOIS ST |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184772741 | Linda L Werling Iv | Dietitian, Registered | 615 Dubois St, Vincennes, IN 47591-1048 | 2007-01-08 |
| 1558979450 | Debra Kay Hardwick | Registered Nurse | 615 Dubois St, Vincennes, IN 47591-1048 | 2020-07-16 |
| 1356973150 | Marla Jo Small | Registered Nurse | 615 Dubois St, Vincennes, IN 47591-1048 | 2020-02-10 |
| 1124485552 | Brittany Mccarel | Dietitian, Registered | 615 Dubois St, Vincennes, IN 47591-1048 | 2016-01-15 |
| 1386000776 | Stacy Hinkle | Registered Nurse | 615 Dubois St, Vincennes, IN 47591-1048 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939419 | Milcah Robinson | Technician, Pathology | 6091 Lute Rd Apt 103, Portage, IN 46368-5021 | 2020-10-11 |
| 1679194674 | Brandi Yancey | Technician, Pathology | 11807 Allisonville Rd # 627, Fishers, IN 46038-2313 | 2020-04-30 |
| 1750791786 | Trinette Clark | Technician, Pathology | 3246 Orchard Ave, Indianapolis, IN 46218-1937 | 2014-04-29 |
| 1124457791 | Shonta Edmond | Technician, Pathology | 333 E 60th Dr, Merrillville, IN 46410-3011 | 2013-11-05 |
| 1346581949 | Demetria Buckner | Technician, Pathology | 5901 Walsham Way, Indianapolis, IN 46254-2327 | 2013-03-06 |
| 1184913477 | Anastacio S Meza | Technician, Pathology | 8433 Harrion Dr, Indianapolis, IN 46226-2034 | 2011-04-07 |
| 1386281426 | Autumn Marie Murphy | Technician, Pathology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1811441470 | Christy Dawn Marshall | Technician, Pathology | 421 Walnut St, Madison, IN 47250-3565 | 2016-08-11 |
| 1376900985 | Good Samaritan Hospital | Technician, Pathology | 510 W 11th St, Bicknell, IN 47512-9626 | 2016-01-27 |
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.