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GOOD SAMARITAN REGIONAL HEALTH CENTER NPI 1609897339


NPI Information

NPI: 1609897339
Provider Name: GOOD SAMARITAN REGIONAL HEALTH CENTER

Doing Business As: SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 899-4600
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GOOD SAMARITAN REGIONAL HEALTH CENTER is a general acute care hospital in Mount Vernon, IL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GOOD SAMARITAN REGIONAL HEALTH CENTER NPI is 1609897339. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Good Samaritan Hospital - Mt. Vernon.

The provider's business location address is:

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL
ZIP 62864-402
Phone: (618) 899-4600

The provider's authorized official is Jeremy Bradford .
The authorized official title is President and has the following contact phone number (618) 899-1001.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 11/27/2023.


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
1273R00000XPsychiatric Unit0004705ILLINOISNo
2282N00000XGeneral Acute Care Hospital0004705ILLINOISYes

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
1140112100OTHERILLINOISACS OWCP NUMBER
233898OTHERILLINOISGROUP HEALTH PLAN NUMBER
339584100OTHERILLINOISBLACK LUNG NUMBER
4103233OTHERILLINOISHEALTHLINK NUMBER
5003891OTHERILLINOISHEALTH ALLIANCE NUMBER
60014OTHERILLINOISBLUE CROSS/BLUE SHIELD

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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