Good Samaritan Health Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

261QH0100X Issued in IN

Legal business name

GOOD SAMARITAN HEALTH CLINIC

Practice address

2716 E. Washington Street
Indianapolis, IN 46206-1871

Phone

(317) 638-2862

Fax

(317) 263-9907

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J. Evans, E.D

Title

Executive Director

Phone

(317) 638-2862

Specialties & licenses 1

Addresses

Other names 1

• Good News Ministries Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Gay Barker, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Anderson, IN
  • NPI 1336355023
  NPD (past)
• Annessa Rae Thayer, APRN

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1891330163
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871717439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EASTERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011871",
            "telephone_number": "317-638-2862",
            "fax_number": "317-638-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 E. WASHINGTON STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061871",
            "telephone_number": "317-638-2862",
            "fax_number": "317-263-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-638-2862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "E.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IN",
            "license": "261QH0100X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good News Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole M Gooch, NP
• Good Hands Home Care LLC
• Good Hands Home Health LLC
• Good Life Home Care LLC
• Good Ol' Days Home Care & Adult Day Center LLC
• Good Samaritan Home Care LLC
• Good Stick Laboratory
• Good Vibes Homecare LLC
• Good Will Home Health LLC
• Amanda Michaele Good

• Health Service Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.