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 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital 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:
Website:
Map and Directions
Authorized official contact:
Name: Bradford, Jeremy
Phone: (618) 899-1001

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0004705 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0004705 Illinois

Profile Details

NPI number 1609897339
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 Jul 21st, 2006
Last updated Nov 27th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609897339 NPPES
Illinois Other 140112100 ACS OWCP NUMBER
Illinois Other 33898 ACS OWCP NUMBER
Illinois Other 39584100 ACS OWCP NUMBER
Illinois Other 103233 ACS OWCP NUMBER
Illinois Other 003891 ACS OWCP NUMBER
Illinois Other 0014 ACS OWCP NUMBER

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