Good Samaritan Regional Health Center, NPI 1609897339
General Acute Care Hospital in Mount Vernon, IL, US
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 | 1609897339 |
| NPI Entity Type | Organization |
| Provider Name |
Good Samaritan Regional Health Center
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1 Good Samaritan Way, Mount Vernon, IL, US |
| Provider Mailing Address | Po Box 503927, Saint Louis, MO, US, 631500001 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Jeremy Bradford |
| Official Position | PRESIDENT |
| Phone | 618-899-1001 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Acute Care Hospital |
| Classification | |
| Group | |
| License No. | 0004705 |
| License State | IL |
| Description | An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0004705 | IL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 140112100 | IL | ACS OWCP NUMBER | 01 |
| 33898 | IL | GROUP HEALTH PLAN NUMBER | 01 |
| 39584100 | IL | BLACK LUNG NUMBER | 01 |
| 103233 | IL | HEALTHLINK NUMBER | 01 |
| 003891 | IL | HEALTH ALLIANCE NUMBER | 01 |
| 0014 | IL | BLUE CROSS/BLUE SHIELD | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | 2.16.840.1.113883.3.1068.1 | OTHER | Yes | 2720 Dundee Rd # 302, Northbrook, IL, US |
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