Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
West River Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL P PLEVYAK JR. (SVP FINANCE)
(502) 213-1710
Entity
Organization
Contact information
Practice address
714 S EICKHOFF RD, EVANSVILLE, IN 47712-9060
(812) 985-9878
(812) 985-9879
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201039500A
—
IN
Enumeration date
08/20/2010
Last updated
02/06/2015
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