| Good Samaritan Family Health Center, Inc | |
|
1027 Washington Ave Ste B Vincennes IN 47591-2240 | |
| (812) 494-7500 | |
| (812) 494-7600 |
| Full Name | Good Samaritan Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1027 Washington Ave Ste B, Vincennes, Indiana |
| Authorized Official Name and Position | Jennifer Emmons (CEO) |
| Authorized Official Contact | 8124947800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Family Health Center, Inc Po Box 556 Vincennes IN 47591-0556 Ph: (812) 494-9501 | Good Samaritan Family Health Center, Inc 1027 Washington Ave Ste B Vincennes IN 47591-2240 Ph: (812) 494-7500 |
| NPI Number | 1174031256 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 5294099321 |
|---|---|
| Medicare Enrollment ID | O20190219002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174031256 | NPI | - | NPPES |
| 30021631 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Rebecca A Albright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477560852 PECOS PAC ID: 5991692527 Enrollment ID: I20040913001052 |
| Provider Name | Kara A Klemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265419642 PECOS PAC ID: 3577524495 Enrollment ID: I20041025000299 |
| 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 | Jennifer L Becher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174730550 PECOS PAC ID: 8820176712 Enrollment ID: I20080417000163 |
| Provider Name | Michael L Cantwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750381059 PECOS PAC ID: 1254402951 Enrollment ID: I20080624000697 |
| Provider Name | Michael A Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023095338 PECOS PAC ID: 4284707464 Enrollment ID: I20080722000009 |
| Provider Name | Emily Heineke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356333264 PECOS PAC ID: 7214000405 Enrollment ID: I20080722000075 |
| Provider Name | Sharon K Pridgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275510562 PECOS PAC ID: 4082787163 Enrollment ID: I20080723000147 |
| Provider Name | Desiree L Haskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386610749 PECOS PAC ID: 3779656855 Enrollment ID: I20080723000184 |
| Provider Name | Tammy L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932385218 PECOS PAC ID: 5698842565 Enrollment ID: I20080917000851 |
| Provider Name | Dana J Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063592855 PECOS PAC ID: 8022168566 Enrollment ID: I20090604000188 |
| 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 | John R. Schmeling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881903094 PECOS PAC ID: 2163652959 Enrollment ID: I20140221001233 |
| Provider Name | Joanna E Primeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760816342 PECOS PAC ID: 6305060278 Enrollment ID: I20140616001199 |
| Provider Name | Sally J Bodensteiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851580823 PECOS PAC ID: 2365527983 Enrollment ID: I20141118001926 |
| Provider Name | Angela M Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588906630 PECOS PAC ID: 3870895972 Enrollment ID: I20160106002271 |
| Provider Name | Allie Thomas-fannin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942566708 PECOS PAC ID: 2668763673 Enrollment ID: I20160622002042 |
| Provider Name | Jennifer Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033566203 PECOS PAC ID: 5092007534 Enrollment ID: I20160701001561 |
| Provider Name | James Pfleging |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427505817 PECOS PAC ID: 5597052183 Enrollment ID: I20160926001474 |
| Provider Name | Lucas W Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487145215 PECOS PAC ID: 4981952777 Enrollment ID: I20180810001511 |
| Provider Name | Jamie L Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550165 PECOS PAC ID: 6305844887 Enrollment ID: I20181012001746 |
| Provider Name | Anastasia Leigh Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376889071 PECOS PAC ID: 8123264306 Enrollment ID: I20190219002696 |
| Provider Name | Debra Lynn Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952877144 PECOS PAC ID: 1658610506 Enrollment ID: I20190311002818 |
| Provider Name | Stacy Allender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407303530 PECOS PAC ID: 0547595480 Enrollment ID: I20190715000951 |
| Provider Name | Amy Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013566132 PECOS PAC ID: 5799016960 Enrollment ID: I20191021000486 |
| Provider Name | Glen E Oriaifo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104271618 PECOS PAC ID: 4385938604 Enrollment ID: I20201009000770 |
| Provider Name | Crystal Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033493192 PECOS PAC ID: 6507277118 Enrollment ID: I20201202001644 |
| Provider Name | Stephanie A Beard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235649435 PECOS PAC ID: 0840608774 Enrollment ID: I20210414001394 |
| Provider Name | Kara L Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730625369 PECOS PAC ID: 6507274974 Enrollment ID: I20210423001340 |
| Provider Name | Silpa Kamisetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144511510 PECOS PAC ID: 3476880527 Enrollment ID: I20210521000668 |
| Provider Name | Christy Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790918951 PECOS PAC ID: 7810393857 Enrollment ID: I20210831001228 |
| Provider Name | Shayna N Wagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700553781 PECOS PAC ID: 9133525876 Enrollment ID: I20210907000215 |
| Provider Name | Angela R Lyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174295083 PECOS PAC ID: 6507255940 Enrollment ID: I20211105001068 |
| Provider Name | Andrea Tomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790086 PECOS PAC ID: 5496130734 Enrollment ID: I20220922001173 |
| Provider Name | Sarah Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736897 PECOS PAC ID: 0749658474 Enrollment ID: I20221130000851 |
| Provider Name | Ashley Cassem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205390689 PECOS PAC ID: 8426414889 Enrollment ID: I20230510001975 |
| Provider Name | Tiffanie Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255916821 PECOS PAC ID: 9638535834 Enrollment ID: I20230512002049 |
| Provider Name | Cheryl Lynn Gistand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922560440 PECOS PAC ID: 5890028872 Enrollment ID: I20230621001550 |
| Provider Name | Morgan Marczak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568951192 PECOS PAC ID: 7113374919 Enrollment ID: I20231116001452 |
| Provider Name | Mandi Weger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245671999 PECOS PAC ID: 5395193296 Enrollment ID: I20231204001721 |
| Provider Name | Linda Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598309312 PECOS PAC ID: 9032569868 Enrollment ID: I20231220001052 |
| Provider Name | Yvonne L Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508902560 PECOS PAC ID: 2860842424 Enrollment ID: I20231221002826 |
| Provider Name | Ashley Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487097853 PECOS PAC ID: 3779933189 Enrollment ID: I20231227003199 |
| Provider Name | Judith Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417725748 PECOS PAC ID: 2668816018 Enrollment ID: I20240214000753 |
| Provider Name | Emily J Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588232524 PECOS PAC ID: 7810332905 Enrollment ID: I20240228002937 |
Good Samaritan Hospital Physicians Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 N 1st St, Vincennes, IN 47591 Phone: 812-882-4434 Fax: 812-885-6318 | |
Good Samaritan Hospital Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Willow St Ste 203, Vincennes, IN 47591 Phone: 812-885-1000 Fax: 812-882-1004 | |
Rohrer Family Clinic,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Suite B, Vincennes, IN 47591 Phone: 812-882-3816 Fax: 812-886-5914 | |
Advanced Gastroenterology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 S 7th St Ste Sb406, Vincennes, IN 47591 Phone: 812-885-8770 Fax: 812-885-8771 | |
Nibel Gp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Willow, Suite 5a, Vincennes, IN 47591 Phone: 812-885-1200 Fax: 812-885-1209 | |
Good Samaritan Family Practice 120 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N 1st St Ste C, Vincennes, IN 47591 Phone: 812-882-1106 Fax: 812-885-2758 |