| Organization Name: | GOOD SAMARITAN HOSPITAL |
| NPI Number: | 1124010657 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT D MCLIN (CEO) |
| Mailing Address: | 520 S 7th St Vincennes |
| State: | IN US |
| Postal Code: | 475911038 |
| Phone Number: | 8128858035 |
| Fax Number: | 8128853917 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 050050381 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |