Good Samaritan Hospital
Organization Active NPI Skilled Nursing Facility · Tell City, IN
NPI 1801908587 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1801908587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 06-002512-1 (IN)
- Legal business name
- GOOD SAMARITAN HOSPITAL
- Practice address
- 1143 23Rd St
Tell City, IN 47586-2562 - Phone
- (812) 547-2333
- Fax
- (812) 547-2312
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert McLin
- Title
- President/Ceo
- Phone
- (812) 882-5220
Owners & managing parties with NPI records 26
-
William Marcrum, MD
Owned or controlled facilities with NPI records 17
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 37
Facilities with the same owner 15
Practitioners 11
-
Michael L Cantwell, M.D.
-
Eleni Guoli, LMHC
-
Kristi L Harper, LCSW
-
Silpa Kamisetti, M.D.
-
Emily A Kramer, LCSW
-
Allie E Thomas-Fannin, M.D.
Affiliated clinicians 3
-
Kiran Burla, MD
-
Eric F Kleeman, MD
-
William Marcrum, MD
Medicare Care Compare: Nursing home
- Listed as
- Oakwood Health Campus
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Apr 14, 2000
- Medicare certification status
- Active
- Certified beds
- 98 · 78.5 residents per day on average
- Chain
- Trilogy Health Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0970450 | Oakwood Health Campus | Certificate of waiver | Feb 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155671
- Legal name
- GOOD SAMARITAN HOSPITAL
- Doing business as
- OAKWOOD HEALTH CAMPUS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 14, 2000
- Last certification
- Jul 1, 2024
- Beds
- 124 (98 certified)
- Ownership / control type
- County
- Organization structure
- Government · Non-profit
- Enrollment address
- 1143 23Rd St
Tell City, IN 47586-2562 - Nursing home name
- OAKWOOD HEALTH CAMPUS
- Affiliated entity
- TRILOGY HEALTH SERVICES
All disclosed owners & managing parties 32
| Name | Role | Since | Share |
|---|---|---|---|
| Adam L Thacker |
Corporate Officer |
Sep 1, 2013 | |
| Operational/Managerial Control | Sep 1, 2013 | ||
| Adp of the SNF | Sep 1, 2013 | ||
| Mary C. Blocker |
Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Apr 25, 2025 | ||
| American Healthcare Reit Inc |
Adp of the SNF | Oct 1, 2018 | |
| |
Adp of the SNF | Jun 5, 2016 | |
| Trilogy Propco II LLC |
Adp of the SNF | Feb 1, 2000 | |
| Trilogy Real Estate Investment Trust |
Adp of the SNF | Dec 1, 2015 | |
| |
Adp of the SNF | Jun 8, 2020 | |
| Lument Real Estate Capital LLC |
5% Or Greater Mortgage Interest | Jan 1, 2023 | 100% |
| Adp of the SNF | Oct 23, 2025 | ||
| Trilogy Reit Holdings LLC |
Adp of the SNF | Dec 1, 2015 | |
| |
Adp of the SNF | Sep 19, 2016 | |
| Matthew Schuckman |
Corporate Officer |
Dec 15, 2021 | |
| Operational/Managerial Control | Dec 15, 2021 | ||
| Adp of the SNF | Dec 15, 2021 | ||
| Trilogy Management Services LLC |
Adp of the SNF | Oct 24, 2025 | |
| Trilogy Propco II Finance B, LLC |
Adp of the SNF | Feb 1, 2000 | |
| |
Adp of the SNF | Jun 2, 2025 | |
| Gahc3 Trilogy JV LLC |
Adp of the SNF | Dec 1, 2015 | |
| |
Adp of the SNF | Jun 2, 2025 | |
| American Healthcare Reit Holdings LP |
Adp of the SNF | Dec 1, 2015 | |
| Robert D McLin |
Corporate Officer |
Jan 6, 1992 | |
| Operational/Managerial Control | Jan 6, 1992 | ||
| Adp of the SNF | Jan 6, 1992 | ||
| |
Adp of the SNF | Jan 1, 2021 | |
| Trilogy Real Estate Oakwood, LLC |
Adp of the SNF | Feb 1, 2000 | |
| Indirect Ownership Interest | Feb 1, 2000 | ||
| |
Adp of the SNF | Jan 1, 2025 | |
| Paragon Outpatient Rehabilitation Services LLC |
Adp of the SNF | Dec 1, 2015 | |
| Trilogy Investors LLC |
Adp of the SNF | Dec 1, 2015 | |
| William Eugene Marcrum |
Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Kathy M Corbin |
Corporate Director |
Jul 1, 2015 | |
| Trilogy Property Holdings LLC |
Adp of the SNF | Feb 1, 2000 | |
| Trilogy Healthcare of Oakwood, LLC |
Operational/Managerial Control | Nov 1, 2014 | |
| Trilogy Healthcare Master Tenant V, LLC |
Adp of the SNF | Jun 24, 2025 | |
| Good Samaritan Hospital |
5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| Operational/Managerial Control | May 1, 2015 | ||
| David W Davis |
Limited Partnership Interest | Dec 31, 2019 | 32.4% |
| Continental Merger Sub LLC |
Adp of the SNF | Oct 1, 2021 | |
| Gahc4 Trilogy JV LLC |
Adp of the SNF | Oct 1, 2018 |
All facility ownership & control disclosures 16
| Facility | Type | Role | Since |
|---|---|---|---|
| Good Samaritan Hospital |
Hospital | Other | Apr 5, 2015 |
| Amber Manor Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 2015 May 1, 2015 Jul 31, 2025 |
| St Charles Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| West River Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| River Pointe Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Woodmont Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Riveroaks Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Scenic Hills at the Monastery |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Bridgepointe Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 2015 May 1, 2015 Jun 23, 2025 |
| Terrace at Solarbron the |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| North River Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Good Samaritan Home Care Services of Vincennes in, LLC |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Dec 1, 2004 |
| Good Samaritan Home Care Services |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Mar 1, 2018 |
| Good Samaritan Hospital Physician Services, Inc |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2011 |
| Good Samaritan Internal Medicine 100 |
Rural health clinic | Operational/Managerial Control Other |
Jan 1, 2023 Jan 1, 2023 |
| Good Samaritan Washington Primary Care |
Rural health clinic | Operational/Managerial Control (100%) Other |
Jun 1, 2025 Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141125001102 | IN | Part a Provider - Skilled Nursing Facility | 9436061918 | Practice locations: Tell City, IN |
National Provider Directory
- Tax ID family
- Good Samaritan Hosp
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 06-002512-1 | IN | Yes |
Addresses
Primary practice location
1143 23Rd St
Tell City, IN 47586-2562
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200278690A | Medicaid | IN |
Other names
- Oakwood Health Campus
Other providers in Tell City, IN
- Donald Paul Gibson
- Shauna L Gish
- Gladish Chiropractic and Acupuncture LLC
- Jared L Gladish
- Lena M Goffinet
- Adrienne Klyne Gore
- James H Gruber
- Kevin Hardesty
- Myra E Harris
- Alexa Elizabeth Hawhee
All providers in Tell City, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.