NPIMap

Organization Active NPI

Good Samaritan Family Health Center, Inc.

Doing business as Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
National Provider Identifier
1063302545
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOOD SAMARITAN FAMILY HEALTH CENTER, INC.
Doing business as
Family Health Center
Practice address
600 NE 6TH St
Washington, IN 47501-2030
Phone
(812) 494-9514
Fax
(812) 494-9515
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SAMARITAN FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Emmons
Title
Ceo
Phone
(812) 494-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

600 NE 6TH St
Washington, IN 47501-2030

Mailing address

PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9501

Other names 1

  • Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204000442 IN Part A Provider - Federally Qualified Health Center (FQHC) 5294099321 Practice locations: Washington, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063302545. Details of each certification follow.

Federally qualified health center certification: CCN C51115

Legal name
GOOD SAMARITAN FAMILY HEALTH CENTER INC
Doing business as
FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 2, 2025
Last certification
Dec 2, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
600 NE 6TH St
FL 1
Washington, IN 47501-2030

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Inc31 organizations share this tax ID, including this one
Part of
Good Samaritan Inc

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

5494 E State Road 58
Fl 1
Elnora, IN 47529

5498 E State Road 58
Fl 1
Elnora, IN 47529

200 S John F Kennedy Ave
Loogootee, IN 47553
Phone (812) 295-3090

1008 Upper 11th St
Rm 25
Vincennes, IN 47591
Phone (812) 885-2720

1513 Main St
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

2134 Washington Ave
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

600 NE 6th St
Washington, IN 47501
Phone (812) 254-8363

600 NE 6th St
Fl 1
Washington, IN 47501

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stanley Graber Individual Corporate OfficerChief Financial Officer Dec 1, 2022
Bridgett Bilskie Individual W-2 Managing EmployeePayor Contract Manager Jul 28, 2021
Joseph Williams Individual OtherBoard Vice Chairman Sep 1, 2022
Stormey Wiegman Individual W-2 Managing EmployeeProvider Enrollment Specialist Apr 15, 2024
Kolby Kerzan Individual OtherBoard President Sep 1, 2022
Jennifer Emmons Individual 5% Or Greater Direct Ownership InterestCeo Sep 25, 2017 100%
Traci French Individual Corporate OfficerChief Administrative Officer May 17, 2023

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1063302545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 6TH ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012030",
            "telephone_number": "812-494-9514",
            "fax_number": "812-494-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-494-9501"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.