<Unavail>

LBN: Good Samaritan Hospital
<Unavail> is an health care organization with primary practice located at 611 E Main St Suite 110, Petersburg IN 47567-1267. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Good Samaritan Hospital can be contacted via phone (812) 354-8785, or through Manning, John via phone (812) 886-6800.

Contact Information

Primary practice address
611 E Main St Suite 110 Petersburg IN 47567-1267
Phone: (812) 354-8785
Fax: (812) 354-8786
Website:
Map and Directions
Authorized official contact:
Name: Manning, John
Phone: (812) 886-6800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4030 Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4030 Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4030 Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4030 Indiana
Agencies / Community/Behavioral Health 251S00000X 4030CMHC Indiana

Profile Details

NPI number 1952309528
LBN Legal business name Good Samaritan Hospital
DBA Doing business as <Unavail>
Authorized official Manning, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jun 3rd, 2015 - about 11 years ago

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 1952309528 NPPES
Indiana Other 165526 MHN GROUP
Indiana Other 192466000 MHN GROUP
Indiana Other 000000574039 MHN GROUP
Indiana Other 301936 MHN GROUP
Indiana MEDICAID 100270140C MHN GROUP
Indiana MEDICAID 100270140G MHN GROUP

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