Good Samaritan Hospital Physician Services, Inc
LBN: Good Samaritan Hospital Physician Services, Inc
Good Samaritan Hospital Physician Services, Inc is an health care organization with primary practice located at 611 E Main St Suite 110, Petersburg IN 47567-1270. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Good Samaritan Hospital Physician Services, Inc can be contacted via phone (812) 354-8426, or through Schuckman, Matthew via phone (812) 882-5220.
Contact Information
Primary practice address
611 E Main St Suite 110
Petersburg IN 47567-1270
Phone: (812) 354-8426
Fax: (812) 354-9134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1639572829 |
|---|---|
| LBN Legal business name | Good Samaritan Hospital Physician Services, Inc |
| DBA Doing business as | |
| Authorized official | Schuckman, Matthew |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 1st, 2014 |
| Last updated | Jan 24th, 2024 - about last year |
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 | 1639572829 | NPPES |
| Indiana | MEDICAID | 201205250A | |
| Indiana | Other | 153904 |
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