NPIMap

Organization Active NPI

Good Samaritan Hospital Physician Services Inc.

  • Radiation Oncology Physician
  • Vincennes, IN
National Provider Identifier
1629050646
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01034975A Issued in IN
Legal business name
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC.
Practice address
520 S 7TH St
Vincennes, IN 47591-1038
Phone
(812) 885-3939
NPI assigned
Nov 16, 2005
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
Mr. Robert D McLin, CFO
Title
Cfo
Phone
(812) 885-3917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X 01034975A IN Primary

Addresses

Primary practice location

520 S 7TH St
Vincennes, IN 47591-1038

Mailing address

305 S 5TH St
Vincennes, IN 47591-1117
Phone (812) 885-8497

Other identifiers 4

IdentifierTypeStateIssuer
200926130MedicaidIN
200922190MedicaidIN
200009110MedicaidIN
201092760MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

115 E Market St
Olney, IL 62450
Phone (618) 392-6116

222 W Beech St
Sullivan, IN 47882
Phone (812) 268-3400

1023 N 4th St
Vincennes, IN 47591

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

1813 Willow St
Ste 4C
Vincennes, IN 47591
Phone (812) 790-2013

1813 Willow St
Ste 5A
Vincennes, IN 47591
Phone (812) 385-5820

328 N 2nd St
Ste 200
Vincennes, IN 47591
Phone (812) 882-4320

328 N 2nd St
Ste 202
Vincennes, IN 47591

328 N 2nd St
Ste 301
Vincennes, IN 47591
Phone (812) 885-6850

406 N 1st St
Ste D
Vincennes, IN 47591
Phone (812) 885-0524

406 N 1st St
Ste I
Vincennes, IN 47591
Phone (812) 885-0881

520 S 7th St
Fl 4
Vincennes, IN 47591

528 N 1st St
Vincennes, IN 47591
Phone (812) 882-4434

570 S 7TH St
Vincennes, IN 47591

625 S 7th St
Vincennes, IN 47591
Phone (812) 885-0041

700 Willow St
Ste 201
Vincennes, IN 47591
Phone (812) 882-0023

700 Willow St
Ste 303
Vincennes, IN 47591

Practitioners & affiliated clinicians

Practitioners 117

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 117

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1629050646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S 5TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911117",
            "telephone_number": "812-885-8497",
            "fax_number": "812-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "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": "CFO",
        "authorized_official_telephone_number": "812-885-3917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01034975A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200926130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200922190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009110",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201092760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, 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.