Organization Active NPI

The Good Samaritan Hospital of Cincinnati, Ohio

Doing business as Good Samaritan Hospital - Evendale

  • General Acute Care Hospital
  • Cincinnati, OH
National Provider Identifier
1740893320
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO
Doing business as
Good Samaritan Hospital - Evendale
Practice address
3155 Glendale Milford Rd
Cincinnati, OH 45241-3134
Phone
(513) 454-2222
Fax
(513) 454-2500
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Michael W Crofton
Title
Vice President
Phone
(513) 569-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3155 Glendale Milford Rd
Cincinnati, OH 45241-3134

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4684

Other names 1

  • Good Samaritan Hospital - Evendale Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000446 OH Part A Provider - Hospital 1759398720 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; Oxford, OH; Montgomery, OH; Lebanon, OH; Fairfield Township, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740893320. Details of each certification follow.

Hospital certification: CCN 360134

Legal name
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO
Doing business as
GOOD SAMARITAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 7, 2019
Beds
672
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2020 (2 total)
Organization structure
CorporationNon-profit
Incorporated
May 23, 1966 in OH
Enrollment address
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Good Samaritan HospitalCCN 360134 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

2800 Winslow Ave
Cincinnati, OH 45206
Phone (513) 636-4788

3219 Clifton Ave
Ste 305
Cincinnati, OH 45220
Phone (513) 346-1270

3219 Clifton Ave
Ste 400B
Cincinnati, OH 45220
Phone (513) 862-9500

3285 Westbourne Dr
Ste 2
Cincinnati, OH 45248
Phone (513) 451-7500

375 Dixmyth Ave
#10
Cincinnati, OH 45220
Phone (513) 862-2850

375 Dixmyth Ave
#8
Cincinnati, OH 45220
Phone (513) 862-2486

379 Dixmyth Ave
Ste A6076
Cincinnati, OH 45220
Phone (513) 862-9710

5520 Cheviot Rd
Ste D
Cincinnati, OH 45247
Phone (513) 842-2010

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

7794 5 Mile Rd
Ste 150
Cincinnati, OH 45230
Phone (513) 246-7016

8240 Northcreek Dr
Ste 1200
Cincinnati, OH 45236
Phone (513) 853-1460

3035 Hamilton Mason Rd
Ste 102
Fairfield Township, OH 45011

3035 Hamilton Mason Rd
Ste 206
Fairfield Township, OH 45011
Phone (513) 893-8330

10506 Montgomery Rd
Ste 403
Montgomery, OH 45242
Phone (513) 624-0999

10550 Montgomery Rd
Ste 27
Montgomery, OH 45242
Phone (513) 865-5200

10600 Montgomery Rd
Ste 101
Montgomery, OH 45242
Phone (513) 794-5680

110 N Poplar St
Ste 101
Oxford, OH 45056
Phone (513) 524-5550

Ownership & related parties

All disclosed owners & managing parties 17

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, Chicago, IL Non-profit 5% Or Greater Direct Ownership Interest May 23, 1966 100%
Ralph Michael Individual Corporate DirectorBoard of Directors Chairperson Jul 8, 2014
Trihealth Inc Organization, Cincinnati, OH Non-profit Operational/Managerial Control Nov 15, 1994 100%
Kenneth Robert Patton Individual Corporate DirectorBoard Member Jul 1, 2024
Kasey Rohling Individual Corporate DirectorBoard Member Jul 1, 2024
Mark C Clement Individual Contracted Managing EmployeePresident and Ceo May 26, 2015
Corporate OfficerPresident and Ceo May 26, 2015
Operational/Managerial ControlPresident and Ceo May 26, 2015
Michael Crofton Individual Contracted Managing EmployeeVice President Sep 1, 2014
Corporate OfficerVice President Sep 1, 2014
Operational/Managerial ControlVice President Sep 1, 2014
Theodore Torbeck Individual Corporate DirectorBoard of Directorstreasurer Apr 1, 2019
Rance Duke Individual Corporate DirectorBoard Member Jul 1, 2019
Robert H Collins Individual Corporate DirectorBoard Member Apr 1, 2019
Steve Gracey Individual Contracted Managing EmployeeSr. VP, General Counsel Jul 1, 2017
Corporate OfficerSr VP, General Counsel Jul 1, 2017
Operational/Managerial ControlSr. VP, General Counsel Jul 1, 2017
Phillip Castellini Individual Corporate DirectorBoard MBR Jul 12, 2016
Cynthia Booth Individual Corporate DirectorBoard Member Jul 1, 2020
Philip Foster Individual Corporate DirectorBoard Member Apr 1, 2019
Quint Studer Individual Corporate DirectorBoard Member Apr 1, 2019
Kathy M Kelly Individual Corporate DirectorBoard of Directors Vice Chairperson Jul 1, 2019
Sara Duffy Individual Corporate DirectorBoard of Directors Secretary Jul 9, 2013

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 1,264

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

View all 1,264

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1740893320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-4684",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413134",
            "telephone_number": "513-454-2222",
            "fax_number": "513-454-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "CROFTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "513-569-6577"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Hospital - Evendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.