| Good Samaritan Hospital | |
|
611 E Main St Suite 110 Petersburg IN 47567-1267 | |
| (812) 354-8785 | |
| (812) 354-8786 |
| Full Name | Good Samaritan Hospital |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 E Main St, Petersburg, Indiana |
| Authorized Official Name and Position | John Manning (VP BEHAVIORAL HEALTH/SPEC PROJECTS) |
| Authorized Official Contact | 8128866800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital 515 Bayou St Vincennes IN 47591-1034 Ph: (812) 886-6800 | Good Samaritan Hospital 611 E Main St Suite 110 Petersburg IN 47567-1267 Ph: (812) 354-8785 |
| NPI Number | 1952309528 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952309528 | NPI | - | NPPES |
| 165526 | Other | IN | MHN GROUP |
| 192466000 | Other | IN | MAGELLAN |
| 000000574039 | Other | IN | ANTHEM PIN FOR THIS LOCATION |
| 301936 | Other | IN | VALUE OPTIONS FACILITY |
| 100270140C | Medicaid | IN | |
| 100270140G | Medicaid | IN |
Good Samaritan Family Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786 |