NPIMap

Organization Active NPI

The Good Samaritan Hospital of Cincinnati, Ohio

  • Psychiatric Hospital Unit
  • Cincinnati, OH
National Provider Identifier
1245209576
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO
Practice address
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone
(513) 569-6302
Fax
(513) 569-6513
NPI assigned
Mar 17, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Connie S Aylward
Title
Manager, Patientaccounts
Phone
(513) 569-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

375 Dixmyth Ave
Cincinnati, OH 45220-2475

Mailing address

619 Oak St
Cincinnati, OH 45206-1613
Phone (516) 569-6302

Other identifiers 6

IdentifierTypeStateIssuer
3293485MedicaidOH
01540434MedicaidKY
6460320OtherOHUNITED HEALTH CARE
6460320OtherOHAETNA
90443OtherOHAMEIGROUP
000000002831OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000581 OH Part A Provider - Hospital 1759398720 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245209576. Details of each certification follow.

Hospital certification: CCN 36S134

Legal name
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO
Doing business as
GOOD SAMARITAN HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 23, 1966 in OH
Enrollment address
375 Dixmyth Ave 10
Cincinnati, OH 45220-2475
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Cath GSH10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

375 Dixmyth Ave
Fl 2
Cincinnati, OH 45220

740 W Galbraith Rd
Ste 160
Cincinnati, OH 45231
Phone (513) 853-5503

740 W Galbraith Rd
Ste 180
Cincinnati, OH 45231
Phone (513) 853-5510

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Commonspirit Health Organization, Denver, CO Non-profit 5% Or Greater Direct Ownership Interest May 23, 1966 100%
Ralph Michael Individual Corporate DirectorChairperson Sep 1, 2019
Trihealth Inc Organization, Cincinnati, OH Non-profit Operational/Managerial Control Nov 15, 1994 100%
Kenneth Robert Patton Individual Corporate DirectorBoard Member Jul 1, 2025
Elizabeth Mangan Individual Corporate DirectorBoard Member Jul 1, 2025
Kasey Rohling Individual Corporate DirectorBoard Member Jul 1, 2025
Mark C Clement Individual Corporate OfficerPresident Sep 1, 2019
W-2 Managing Employee Sep 1, 2019
Operational/Managerial Control Sep 1, 2019
Michael Crofton Individual Corporate OfficerVice President Sep 1, 2019
W-2 Managing Employee Sep 1, 2019
Theodore Torbeck Individual Corporate DirectorTreasurer Sep 1, 2019
Rance Duke Individual Corporate DirectorBoard Member Jul 1, 2025
Robert H Collins Individual Corporate DirectorBoard Member Sep 1, 2019
Todd Anderson Individual Corporate OfficerCfo & Executive VP Jul 1, 2025
Cynthia Booth Individual Corporate DirectorBoard Member Jul 1, 2025
Philip Foster Individual Corporate DirectorBoard Member Sep 1, 2019
Quint Studer Individual Corporate DirectorBoard Member Sep 1, 2019
Angela Lee Individual W-2 Managing EmployeeCredentialing Supervisor Sep 1, 2019
Kathy M Kelly Individual Corporate DirectorBoard Member Jul 1, 2025
Sara Duffy Individual Corporate DirectorSecretary Jul 9, 2013
Lisa M Konerman Individual W-2 Managing EmployeeCredentialing Coordinator Sep 1, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Trihealth Rehabilitation Hospital, LLCCincinnati, OH, CCN 363041 Hospital 5% Or Greater Direct Ownership Interest (21.25%) May 1, 2016

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245209576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 OAK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061613",
            "telephone_number": "516-569-6302",
            "fax_number": "513-569-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-569-6302",
            "fax_number": "513-569-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AYLWARD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER, PATIENTACCOUNTS",
        "authorized_official_telephone_number": "513-569-6302"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3293485",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01540434",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6460320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6460320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMEIGROUP",
            "identifier": "90443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000002831",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.