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GOOD SAMARITAN HOSPITAL NPI 1376900985


NPI Information

NPI: 1376900985
Provider Name: GOOD SAMARITAN HOSPITAL

Doing Business As: GSH BICKNELL DIAGNOSTIC CENTER

Classification: Radiologic Technologist - 247100000X
Entity Type: Organization

CLIA Number: 15D2262597

Address:
510 W 11TH ST
BICKNELL, IN
ZIP 47512
Phone: (812) 735-4040
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GOOD SAMARITAN HOSPITAL is a radiologic technologist in Bicknell, IN. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. GOOD SAMARITAN HOSPITAL NPI is 1376900985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gsh Bicknell Diagnostic Center.

The provider's business location address is:

510 W 11TH ST
BICKNELL, IN
ZIP 47512-626
Phone: (812) 735-4040
Fax: (812) 735-3332

The provider's authorized official is Robert D Mclin .
The authorized official title is Ceo and has the following contact phone number (812) 885-3333.

The CLIA number assigned to this NPI record is 15D2262597 - other - community paramedic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2016 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyNo
2247100000XRadiologic TechnologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116-005038-1OTHERINDIANALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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