| Good Samaritan Hospital Mental Health | |
|
520 S 7th Street Vincennes IN 47591-1038 | |
| (812) 882-5220 | |
| (812) 885-3917 |
| Full Name | Good Samaritan Hospital Mental Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 520 S 7th Street, Vincennes, Indiana |
| Authorized Official Name and Position | Robert Mclin (CEO) |
| Authorized Official Contact | 8128825220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital Mental Health 1160 E Saint Clair St Vincennes IN 47591-4853 Ph: (812) 882-5220 | Good Samaritan Hospital Mental Health 520 S 7th Street Vincennes IN 47591-1038 Ph: (812) 882-5220 |
| NPI Number | 1770575201 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 9436061918 |
|---|---|
| Medicare Enrollment ID | O20070817000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770575201 | NPI | - | NPPES |
| 100270130D | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 050050381 (Indiana) | Primary |
| 282N00000X | General Acute Care Hospital | 080050381 (Indiana) | Secondary |
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