Samaritan Center - Waiver

LBN: Good Samaritan Hospital
Samaritan Center - Waiver is an health care organization with primary practice located at 1901 Willow St , Vincennes IN 47591-4277. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Good Samaritan Hospital can be contacted via phone (812) 885-2709, or through Manning, John via phone (812) 885-2709.

Contact Information

Primary practice address
1901 Willow St Vincennes IN 47591-4277
Phone: (812) 885-2709
Fax: (812) 885-2729
Website:
Map and Directions
Authorized official contact:
Name: Manning, John
Phone: (812) 885-2709

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X Indiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Indiana
Agencies / Community/Behavioral Health 251S00000X 403-0-CMHC Indiana

Profile Details

NPI number 1871761015
LBN Legal business name Good Samaritan Hospital
DBA Doing business as Samaritan Center - Waiver
Authorized official Manning, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 11th, 2008
Last updated Aug 5th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871761015 NPPES
Indiana MEDICAID 200898460A

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