GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC (NPI# 1932598018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932598018 |
Entity Type | Organization |
Organization Name | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC |
Practice Address |
2005 State St Suite A Washington IN 47501-8558 |
Practice Telephone | 8122544650 |
Practice Fax Number | 8122544081 |
Mailing Telephone | 8122544650 |
Mailing Fax Number | 8122544081 |
Enumeration Date | 2015-01-13 |
Last Update Date | 2015-01-13 |
Authorized Official Name | MR. ROBERT D MCLIN (CEO) |
Authorized Official Telephone | 8128853333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336576875 | Good Samaritan Hospital Physician Services, Inc | Family Medicine | 406 N 1st Street, Vincennes, IN 47591-1038 | 2013-09-30 |
1780178467 | Good Samaritan Hospital Physician Services, Inc | Nurse Practitioner | 520 S 7th St Ste Sb406, Vincennes, IN 47591-1038 | 2018-06-18 |
1609279876 | Good Samaritan Hospital Physician Services, Inc | Clinic/Center | 314 N Main St, Princeton, IN 47670-1514 | 2014-10-02 |
1639572829 | Good Samaritan Hospital Physician Services, Inc | Family Medicine | 611 E Main St, Suite 110, Petersburg, IN 47567-1270 | 2014-10-01 |
1649432071 | Good Samaritan Hospital Physician Services, Inc | Physician Assistant | 520 S 7th St, Vincennes, IN 47591-1038 | 2008-06-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC. | 520 S 7th St, Vincennes, IN 47591-1038 |
Indiana Business Entities | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC. | 520 South Seventh Street, Vincennes, IN 47591 |
Street Address |
2005 STATE ST SUITE A |
City | WASHINGTON |
State | IN |
Zip Code | 47501-8558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760456305 | Stephen L Cullen | Family Medicine | 2005 State St, Suite A, Washington, IN 47501-8505 | 2006-02-13 |
1457718389 | Amanda Mattingly | Nurse Practitioner | 2005 State St, Suite A, Washington, IN 47501-8559 | 2016-01-22 |
1720458227 | Trudy Wessell | Nurse Practitioner | 2005 State St, Suite A, Washington, IN 47501-8558 | 2015-09-28 |
1689002883 | Erica Story | Nurse Practitioner | 2005 State St, Suite A, Washington, IN 47501-8558 | 2013-10-24 |
1841547726 | Kara J Doyle | Nurse Practitioner | 2005 State St, Suite A, Washington, IN 47501-8558 | 2012-08-09 |
1598058414 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 2005 State St, Suite A, Washington, IN 47501-8558 | 2011-05-25 |
1497972251 | Amy Michelle Archer | Family Medicine | 2005 State St, Suite A, Washington, IN 47501-8559 | 2007-04-20 |
1134163256 | Prescription Shoppe LLC | Pharmacy | 2005 State St, Ste B, Washington, IN 47501-8505 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
Find all providers in zip 47501 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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---|---|---|---|---|
1366847337 | Dixon Family Medical Center, LLC | Clinic/Center | 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589-4420 | 2014-11-03 |
1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
1801428875 | Opelousas General Hospital Authority | Clinic/Center | 6633 Highway 10, Washington, LA 70589-4313 | 2020-02-07 |
1639552995 | Page Memorial Hospital Inc. | Clinic/Center | 12699 Lee Hwy, Washington, VA 22747 | 2015-07-06 |
1699167866 | Washington County Hospital | Clinic/Center | 444 E Polk St, Washington, IA 52353-1237 | 2015-02-25 |
1457607046 | G Rex Stroud Jr Md PC | Clinic/Center | 201 E Main St, Washington, IN 47501-2970 | 2012-08-01 |
1598058414 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 2005 State St, Suite A, Washington, IN 47501-8558 | 2011-05-25 |
1023332970 | Hospital Authority of Wilkes County | Clinic/Center | 212 Hospital Dr, Washington, GA 30673-5619 | 2010-03-22 |
1356468631 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2007-03-23 |
1831257203 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2006-12-05 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 47501 |
Please comment or provide details below to improve the information on GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC.
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.