Organization
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM D THACKER (CEO)
(812) 882-5220
Entity
Organization
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3333
(812) 885-3737
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3325
(812) 885-8987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
207Q00000X
Family Medicine Physician
—
IN
207R00000X
Internal Medicine Physician
—
IN
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
IN
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
IN
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208600000X
Surgery Physician
—
IN
208M00000X
Hospitalist Physician
Primary
—
IN
261QR1300X
Rural Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153904
MEDICARE/OSCAR CERTIFICATION
IN
05
—
200922190
—
IN
01
—
201092760
MEDICAID
IN
05
—
201092760
—
IN
01
—
201205250
MEDICAID
IN
01
—
258190
MEDICARE
—
Enumeration date
06/26/2008
Last updated
04/14/2026
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