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Organization

GOOD SAMARITAN HOSPITAL

Active
Other names
GSH Bicknell Diagnostic Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT D MCLIN (CEO)
(812) 885-3333
Entity
Organization

Contact information

Practice address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
(812) 735-3332
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3333
(812) 885-3737

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
247100000X
Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16-005038-1
LICENSE
IN
Enumeration date
01/27/2016
Last updated
01/27/2016
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