# GOOD SAMARITAN REGIONAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SSM Health Good Samaritan Hospital - Mt. Vernon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043270424
- **Authorized official:** MR. JEREMY BRADFORD (PRESIDENT)
- **Authorized official phone:** (618) 899-1001

## Contact information

- **Practice address:** 1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
- **Practice address phone:** (618) 242-4600
- **Mailing address:** PO BOX 503927, SAINT LOUIS, MO 63150-0001
- **Mailing address phone:** (618) 242-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 0004705 | IL | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 11/27/2023