Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
Community Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D MCLIN (CEO)
(812) 885-3333
Entity
Organization
Contact information
Practice address
328 N 2ND ST STE 100, VINCENNES, IN 47591-1353
(812) 885-8753
(812) 882-8701
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3193
(812) 885-3737
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
16-005038-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-005038-1
LICENSE
IN
Enumeration date
02/16/2016
Last updated
02/05/2024
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