Organization Active NPI

Good Samaritan Hospital Physician Services, Inc

  • Rural Health Clinic/Center
  • Princeton, IN
National Provider Identifier
1609279876
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Practice address
314 N Main St
Princeton, IN 47670-1514
Phone
(812) 385-1071
Fax
(812) 385-8793
NPI assigned
Oct 2, 2014
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Robert D McLin
Title
Ceo
Phone
(812) 885-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X IN Primary

Addresses

Primary practice location

314 N Main St
Princeton, IN 47670-1514

Mailing address

314 N Main St
Princeton, IN 47670-1514
Phone (812) 385-1071

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

314 N Main St
Princeton, IN 47670
Phone (812) 385-1071

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1609279876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701514",
            "telephone_number": "812-385-1071",
            "fax_number": "812-385-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701514",
            "telephone_number": "812-385-1071",
            "fax_number": "812-385-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "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": "812-885-3333"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.