| Organization Name: | GOOD SAMARITAN HOSPITAL |
| NPI Number: | 1033578273 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT D MCLIN (CEO) |
| Mailing Address: | 401 S 7th St Vincennes |
| State: | IN US |
| Postal Code: | 475911066 |
| Phone Number: | 8128858753 |
| Fax Number: | 8128858027 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 16-005038-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |