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Organization

GOOD SAMARITAN HOSPITAL

Active
Parent organization
GOOD SAMARITAN HOSPITAL
Other names
Samaritan Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
ADAM THACKER (CEO)
(812) 882-5220
Entity
Organization

Contact information

Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3292
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3292
(812) 885-3928

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4030
IN
103TC0700X
Clinical Psychologist
4030
IN
104100000X
Social Worker
4030
IN
1041C0700X
Clinical Social Worker
4030
IN
2084P0800X
Psychiatry Physician
4030
IN
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000574011
ANTHEM PIN FOR THIS LOCATION
IN
01
065089000
MAGELLAN
IN
05
100270140A
IN
05
100270140G
IN
01
165526
MHN GROUP
IN
01
200089590A
MEDICAID TRANSPORTATION
IN
01
301936
VALUE OPTIONS FACILITY
IN
Enumeration date
07/07/2005
Last updated
04/14/2026
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