# GOOD SAMARITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodmont Health Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063599140
- **Authorized official:** MR. ROBERT MCLIN (PRESIDENT & CEO)
- **Authorized official phone:** (812) 882-5220

## Contact information

- **Practice address:** 1325 N ROCKPORT RD, BOONVILLE, IN 47601-2346
- **Practice address phone:** (812) 897-4114
- **Practice address fax:** (812) 897-4072
- **Mailing address:** PO BOX 221648, LOUISVILLE, KY 40252-1648
- **Mailing address phone:** (502) 412-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060027241 | IN | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200309330A | — | IN |