# GOOD SAMARITAN HOSPITAL

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

## Provider details

- **NPI number:** 1184930737
- **Authorized official:** MR. PAUL P PLEVYAK JR. (SVP FINANCE)
- **Authorized official phone:** (502) 213-1710

## Contact information

- **Practice address:** 714 S EICKHOFF RD, EVANSVILLE, IN 47712-9060
- **Practice address phone:** (812) 985-9878
- **Practice address fax:** (812) 985-9879
- **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 | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 02/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201039500A | — | IN |