Active NPI
Good Samaritan Hospital Physician Services, Inc
- Rural Health Clinic/Center
- Princeton, IN
National Provider Identifier
1609279876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
Member Of
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.