Good Samaritan Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

050050381 Issued in IN

Legal business name

GOOD SAMARITAN HOSPITAL

Practice address

520 S 7TH Street
Vincennes, IN 47591-1038

Phone

(812) 882-5220

Fax

(812) 885-3917

NPI assigned

Aug 19, 2005

Reactivated

Jun 17, 2008

Organization subpart

Yes

Parent organization

GOOD SAMARITAN HOSPITALAs reported in NPPES

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

Authorized official

Name

Adam Thacker

Title

Ceo

Phone

(812) 882-5220

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• LaSalle Behavioral Health Doing business as
• Good Samaritan Hospital Mental Health Other name

Electronic endpoints 1

Part of

Good Samaritan Hosp

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1770575201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-882-5220",
            "fax_number": "812-885-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH STREET",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-882-5220",
            "fax_number": "812-885-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "deactivation_date": "2008-05-14",
        "reactivation_date": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-882-5220"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "050050381",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "080050381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270130D",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.datavant.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LaSalle Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Hospital Mental Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Good Samaritan Hospital Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital

• All providers in Vincennes, IN
• Psychiatric Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.