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Organization
GOOD SAMARITAN HOSPITAL
Active
Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
RiverOaks Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PLEVYAK (SR. VICE PRESIDENT)
(502) 412-4857
Entity
Organization
Contact information
Practice address
1244 VAIL ST, PRINCETON, IN 47670-9513
(812) 385-0794
(812) 385-3612
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-004130-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491050A
—
IN
Enumeration date
08/31/2006
Last updated
02/06/2015
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