Organization
GOOD SAMARITAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM D THACKER (CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3917
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3917
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
05-005038-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054363
ANTHEM
IN
05
—
100270130
—
IN
Enumeration date
06/10/2005
Last updated
04/14/2026
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