NPIMap

Organization Active NPI

Good Samaritan Hospital

  • Community Based Hospice Care Agency
  • Vincennes, IN
National Provider Identifier
1124010657
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
050050381 Issued in IN
Legal business name
GOOD SAMARITAN HOSPITAL
Practice address
328 N 2ND St Ste 300
Vincennes, IN 47591-1353
Phone
(812) 885-8035
Fax
(812) 885-8048
NPI assigned
Aug 19, 2005
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Robert D McLin
Title
Ceo
Phone
(812) 885-3193

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Samaritan HospiceCCN 151526
Ownership
Combination Government & Non-Profit
Certified
Jul 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110002210 IN Part A Provider - Hospice 9436061918 Practice locations: Vincennes, IN

Hospice certification: CCN 151526

Legal name
GOOD SAMARITAN HOSPITAL
Doing business as
GOOD SAMARITAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 1, 1994
Last certification
May 14, 2014
Ownership / control type
Government - County
Organization structure
OtherNon-profit
Incorporated
Jun 1, 1993 in IN
Enrollment address
601 S 9TH St
Vincennes, IN 47591-2710

All disclosed owners & managing parties 7

Medicare enrollment files

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

NameRoleSinceShare
Jane Russell Individual Corporate DirectorDirector of Continuum Care Sep 1, 2014
W-2 Managing EmployeeDirector of Continuum Care Sep 1, 2014
Matthew Schuckman Individual Corporate DirectorCfo Jan 1, 2022
Operational/Managerial ControlCfo Jan 1, 2022
Stanley Dewesse Individual Corporate OfficerSecretary Apr 1, 2021
Mary C Martin Individual Corporate OfficerVice-Chairman Sep 1, 2014
Robert D McLin Individual Corporate OfficerCeo Sep 1, 2014 100%
Billie Hawkins Individual W-2 Managing EmployeeCredentialing Specialist Mar 1, 2022
Susan Brocksmith Individual Corporate OfficerChairman Apr 1, 2021

All facility ownership & control disclosures 17

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan HospitalVincennes, IN, CCN 150042 Hospital Other Apr 5, 2015
Amber Manor Care CenterPetersburg, IN, CCN 155361 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2015
May 1, 2015
Jul 31, 2025
St Charles Health CampusJasper, IN, CCN 155674 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
West River Health CampusEvansville, IN, CCN 155785 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
River Pointe Health CampusEvansville, IN, CCN 155723 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Oakwood Health CampusTell City, IN, CCN 155671 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Woodmont Health CampusBoonville, IN, CCN 155682 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Riveroaks Health CampusPrinceton, IN, CCN 155732 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Scenic Hills at the MonasteryFerdinand, IN, CCN 155493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Bridgepointe Health CampusVincennes, IN, CCN 155696 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2015
May 1, 2015
Jun 23, 2025
Terrace at Solarbron theEvansville, IN, CCN 155773 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
North River Health CampusEvansville, IN, CCN 155854 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Good Samaritan Home Care Services of Vincennes in, LLCVincennes, IN, CCN 157217 Home health agency 5% Or Greater Direct Ownership Interest (50%) Dec 1, 2004
Good Samaritan Home Care ServicesLawrenceville, IL, CCN 148377 Home health agency 5% Or Greater Direct Ownership Interest (50%) Mar 1, 2018
Good Samaritan Hospital Physician Services, IncVincennes, IN, CCN 153912 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2011
Good Samaritan Internal Medicine 100Vincennes, IN, CCN 158585 Rural health clinic Operational/Managerial Control
Other		 Jan 1, 2023
Jan 1, 2023
Good Samaritan Washington Primary CareWashington, IN, CCN 158594 Rural health clinic Operational/Managerial Control (100%)
Other		 Jun 1, 2025
Jun 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hosp38 organizations share this tax ID, including this one
Part of
Good Samaritan Hosp

Other organizations with this tax ID 37

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

View all 37

Locations

328 N 2nd St
Ste 300
Vincennes, IN 47591
Phone (812) 885-2767

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 050050381 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

328 N 2ND St Ste 300
Vincennes, IN 47591-1353

Mailing address

601 S 9TH St
Vincennes, IN 47591-2710
Phone (812) 885-8035

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200147600MedicaidIN

Other names 1

NPPES NPI Registry
  • Good Samaritan Hospice Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2026.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1124010657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 9TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912710",
            "telephone_number": "812-885-8035",
            "fax_number": "812-885-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 2ND ST STE 300",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911353",
            "telephone_number": "812-885-8035",
            "fax_number": "812-885-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "MCLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-885-3193"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "050050381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200147600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.