Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
RiverOaks Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PLEVYAK (SR. VICE PRESIDENT)
(502) 412-4857
Entity
Organization
Contact information
Practice address
1244 VAIL ST, PRINCETON, IN 47670-9513
(812) 385-0794
(812) 385-3612
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-004130-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491050A
—
IN
Enumeration date
08/31/2006
Last updated
02/06/2015
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