Organization
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D MCLIN CFO (CFO)
(812) 885-3917
Entity
Organization
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3939
Mailing address
305 S 5TH ST, VINCENNES, IN 47591-1117
(812) 885-8497
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01034975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009110
—
IN
05
—
200922190
—
IN
05
—
200926130
—
IN
05
—
201092760
—
IN
Enumeration date
11/16/2005
Last updated
01/24/2024
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