Organization
GOOD SAMARITAN HOSPITAL
Active
Parent organization
GOOD SAMARITAN HOSPITAL
Other names
Good Samaritan Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
MR. ADAM THACKER (CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-4663
(812) 885-3067
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-4663
(812) 885-3067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
060050381
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000110721
ANTHEM
IN
05
—
200486590
—
IN
Enumeration date
09/20/2006
Last updated
04/14/2026
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