# GOOD SAMARITAN REGIONAL HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194269597
- **Authorized official:** MATTHEW KINSELLA (REGIONAL CFO)
- **Authorized official phone:** (618) 899-1040

## Contact information

- **Practice address:** 1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
- **Practice address phone:** (618) 899-8000
- **Mailing address:** 1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
- **Mailing address phone:** (618) 899-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0005850 | IL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0005850 | IL | — |

## Other

- **Enumeration date:** 12/05/2016
- **Last updated:** 12/05/2016