Samaritan Center - Willows
LBN: Good Samaritan Hospital
Samaritan Center - Willows is an health care organization with primary practice located at 1901 Willow St , Vincennes IN 47591-4277. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Good Samaritan Hospital can be contacted via phone (812) 885-2720, or through Manning, John via phone (812) 886-6800.
Contact Information
Primary practice address
1901 Willow St
Vincennes IN 47591-4277
Phone: (812) 885-2720
Fax: (812) 885-2723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4030 | Indiana |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 4030 | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4030 | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4030 | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4030 | Indiana |
| Agencies / Community/Behavioral Health | 251S00000X | 4030CMHC | Indiana |
Profile Details
| NPI number | 1417956152 |
|---|---|
| LBN Legal business name | Good Samaritan Hospital |
| DBA Doing business as | Samaritan Center - Willows |
| Authorized official | Manning, John |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 24th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417956152 | NPPES |
| Indiana | Other | 000000574020 | ATHEM PIN FOR THIS LOCATION |
| Indiana | MEDICAID | 100270140G | ATHEM PIN FOR THIS LOCATION |
| Indiana | MEDICAID | 100270140D | ATHEM PIN FOR THIS LOCATION |
| Indiana | Other | 165526 | ATHEM PIN FOR THIS LOCATION |
| Indiana | Other | 192453000 | ATHEM PIN FOR THIS LOCATION |
| Indiana | Other | 301936 | ATHEM PIN FOR THIS LOCATION |
| Indiana | MEDICAID | 200898460A | ATHEM PIN FOR THIS LOCATION |
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