Ssm Health Good Samaritan Hospital - Mt. Vernon

LBN: Good Samaritan Regional Health Center
Ssm Health Good Samaritan Hospital - Mt. Vernon is an health care organization with primary practice located at 1 Good Samaritan Way , Mount Vernon IL 62864-2402. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Good Samaritan Regional Health Center can be contacted via phone (618) 899-4600, or through Bradford, Jeremy via phone (618) 899-1001.

Contact Information

Primary practice address
1 Good Samaritan Way Mount Vernon IL 62864-2402
Phone: (618) 899-4600
Fax: (618) 532-9365
Website:
Map and Directions
Authorized official contact:
Name: Bradford, Jeremy
Phone: (618) 899-1001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0004705 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0004705 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0004705 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0004705 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0004705 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0004705 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X 0004705 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 0004705 Illinois

Profile Details

NPI number 1487758801
LBN Legal business name Good Samaritan Regional Health Center
DBA Doing business as Ssm Health Good Samaritan Hospital - Mt. Vernon
Authorized official Bradford, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Nov 27th, 2023 - about 2 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 1487758801 NPPES
Illinois Other 4115179 BLUE CROSS BLUE SHIELD
Illinois Other 33898 BLUE CROSS BLUE SHIELD

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