Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
BridgePointe Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCLIN (PRESIDENT & CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
1900 COLLEGE AVE, VINCENNES, IN 47591-5663
(812) 886-9870
(812) 886-9871
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07-003237-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374360
—
IN
Enumeration date
12/18/2007
Last updated
08/06/2015
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