| Good Samaritan Hospital | |
|
520 S 7th St Vincennes IN 47591-1038 | |
| (812) 885-3292 | |
| Not Available |
| Full Name | Good Samaritan Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 S 7th St, 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 520 S 7th St Vincennes IN 47591-1038 Ph: (812) 885-3292 | Good Samaritan Hospital 520 S 7th St Vincennes IN 47591-1038 Ph: (812) 885-3292 |
| NPI Number | 1639176373 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 9436061918 |
|---|---|
| Medicare Enrollment ID | O20031204000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639176373 | NPI | - | NPPES |
| 165526 | Other | IN | MHN GROUP |
| 301936 | Other | IN | VALUE OPTIONS FACILITY |
| 100270140A | Medicaid | IN | |
| 100270140G | Medicaid | IN | |
| 065089000 | Other | IN | MAGELLAN |
| 200089590A | Other | IN | MEDICAID TRANSPORTATION |
| 000000574011 | Other | IN | ANTHEM PIN FOR THIS LOCATION |
| Provider Name | Kristi L Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154308526 PECOS PAC ID: 8426084344 Enrollment ID: I20050712001123 |
| Provider Name | Gerry M Hippensteel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356319115 PECOS PAC ID: 1254428055 Enrollment ID: I20071025000471 |
| Provider Name | Alan D Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003956178 PECOS PAC ID: 8224115522 Enrollment ID: I20080410000810 |
| Provider Name | Michael L Cantwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750381059 PECOS PAC ID: 1254402951 Enrollment ID: I20080624000697 |
| Provider Name | Emily A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770506339 PECOS PAC ID: 0345304796 Enrollment ID: I20090129000204 |
| Provider Name | Scott A Stine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329245 PECOS PAC ID: 0345383766 Enrollment ID: I20100218000119 |
| Provider Name | Willard Whitehead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386657336 PECOS PAC ID: 0547394330 Enrollment ID: I20100816000601 |
| Provider Name | Donald R Gatwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780937987 PECOS PAC ID: 9537314661 Enrollment ID: I20130221000244 |
| Provider Name | Sally J Bodensteiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851580823 PECOS PAC ID: 2365527983 Enrollment ID: I20141118001926 |
| Provider Name | Allie Thomas-fannin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942566708 PECOS PAC ID: 2668763673 Enrollment ID: I20160622002042 |
| Provider Name | Glen E Oriaifo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104271618 PECOS PAC ID: 4385938604 Enrollment ID: I20201009000770 |
| Provider Name | Silpa Kamisetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144511510 PECOS PAC ID: 3476880527 Enrollment ID: I20210521000668 |
| Provider Name | Cheryl Lynn Gistand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922560440 PECOS PAC ID: 5890028872 Enrollment ID: I20230621001550 |
| Provider Name | Dustin James Craney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902425804 PECOS PAC ID: 1052733300 Enrollment ID: I20240715001120 |
Good Samaritan Family Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Bayou St, Vincennes, IN 47591 Phone: 812-886-6800 Fax: 812-886-6809 | |
Good Samaritan Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-886-6800 Fax: 812-886-6809 | |
Pain Management Centers Of America, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Willow St, Vincennes, IN 47591 Phone: 812-477-7246 Fax: 812-477-7240 | |
Samaritan Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S 7th St, Vincennes, IN 47591 Phone: 812-885-8530 Fax: 812-885-8531 | |
Socialwork Connection, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 S Nugent Rd, Vincennes, IN 47591 Phone: 812-881-8033 | |
Clinical Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Kimmell Road, Vincennes, IN 47591 Phone: 317-919-0093 | |
Raintree Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Vigo St, Vincennes, IN 47591 Phone: 812-882-0509 Fax: 812-895-0585 |