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GOOD SAMARITAN HOSPITAL NPI 1952309528


NPI Information

NPI: 1952309528
Provider Name: GOOD SAMARITAN HOSPITAL

Doing Business As: SAMARITAN CENTER - PETERSBURG

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
611 E MAIN ST
SUITE 110
PETERSBURG, IN
ZIP 47567
Phone: (812) 354-8785
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GOOD SAMARITAN HOSPITAL is a community behavioral health in Petersburg, IN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GOOD SAMARITAN HOSPITAL NPI is 1952309528. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Center - Petersburg.

The provider's business location address is:

611 E MAIN ST
SUITE 110
PETERSBURG, IN
ZIP 47567-267
Phone: (812) 354-8785
Fax: (812) 354-8786

The provider's authorized official is John Manning .
The authorized official title is Vp Behavioral Health/spec Projects and has the following contact phone number (812) 886-6800.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/3/2015.


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
1101Y00000XCounselor4030INDIANANo
2101YA0400XCounselorAddiction (Substance Use Disorder)4030INDIANANo
31041C0700XSocial WorkerClinical4030INDIANANo
42084P0800XPsychiatry & NeurologyPsychiatry4030INDIANANo
5251S00000XCommunity/Behavioral Health4030CMHCINDIANAYes

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
1000000574039OTHERINDIANAANTHEM PIN FOR THIS LOCATION
2192466000OTHERINDIANAMAGELLAN
3301936OTHERINDIANAVALUE OPTIONS FACILITY
4100270140GMEDICAIDINDIANA
5100270140CMEDICAIDINDIANA
6165526OTHERINDIANAMHN GROUP
7444530MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.