Good Samaritan Hospital, NPI 1184622458
Psychiatric Hospital Unit in Vincennes, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1184622458
NPI Entity Type Organization
Provider Name Good Samaritan Hospital
Doing Business As
Subpart of Organization Good Samaritan Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 520 S 7th St, Vincennes, IN, US
Provider Mailing Address 515 Bayou St, Vincennes, IN, US, 475911034
Is Sole Proprietor? No
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Organization Official

Official Name C.P.A. Angela Bottoms II
Official Position DIRECTOR FINANCIAL SERVICES
Phone 812-885-2709

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. 05-005038-1
License State IN
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

Samaritan Center - LaSalle Behavioral Health
Doing Business As

Business Address

Good Samaritan Hospital
520 S 7th St

Vincennes, IN, US

Phone: 812-886-6800
Fax: 812-886-6809

Mailing Address

Good Samaritan Hospital
515 Bayou St
Vincennes, IN, US
ZIP 475911034
Phone: 812-886-6800
Fax: 812-886-6809

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1041C0700X

Behavioral Health & Social Service Providers

Social Worker

05-005038-1 IN No

2084P0800X

Allopathic & Osteopathic Physicians

Psychiatry & Neurology

403-0 IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
301936 IN VALUE OPTIONS FACILITY 01
000000574014 IN ANTHEM PIN FOR THIS LOCATION 01
039738000 IN MAGELLAN 01
100270140 IN MEDICAID 05

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1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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