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Organization

GOOD SAMARITAN HOSPITAL

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

Provider details

NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
JOHN MANNING (CHIEF OPERATING OFFICER)
(812) 885-2709
Entity
Organization

Contact information

Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
4030CMHC
IN
347C00000X
Private Vehicle
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200089590A
IN
Enumeration date
02/11/2008
Last updated
06/19/2008
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