Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
St. Charles Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCLIN (PRESIDENT & CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
3150 SAINT CHARLES ST, JASPER, IN 47546-1858
(812) 634-6570
(812) 634-7919
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060026281
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200229110A
—
IN
Enumeration date
11/01/2006
Last updated
04/28/2015
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