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Organization
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Active
Organization
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM THACKER (CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3333
(812) 885-3737
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3325
(812) 885-8987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
207Q00000X
Family Medicine Physician
—
IN
207R00000X
Internal Medicine Physician
—
IN
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
IN
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
IN
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208600000X
Surgery Physician
—
IN
208M00000X
Hospitalist Physician
Primary
—
IN
261QR1300X
Rural Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153904
MEDICARE/OSCAR CERTIFICATION
IN
05
—
200922190
—
IN
01
—
201092760
MEDICAID
IN
05
—
201092760
—
IN
01
—
201205250
MEDICAID
IN
01
—
258190
MEDICARE
—
Enumeration date
06/26/2008
Last updated
05/20/2026
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