Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
Amber Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCLIN (PRESIDENT & CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
801 E ILLINOIS ST, PETERSBURG, IN 47567-8026
(812) 354-3001
(812) 354-3008
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060002521
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267780C
—
IN
Enumeration date
11/01/2006
Last updated
05/04/2015
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