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Good Samaritan Hospital
Community/Behavioral Health Agency in Petersburg, Indiana
NPI 1952309528

Good Samaritan Hospital is a Community/Behavioral Health Agency based in Vincennes, IN. Good Samaritan Hospital practices in Petersburg, IN. The NPI Number for Good Samaritan Hospital is 1952309528 and holds a License No. 4030 (Indiana).

The current practice location address for Good Samaritan Hospital is 611 E Main St, Petersburg, IN and can be reached out via phone at 812-354-8785 and via fax at 812-354-8786. You can also correspond with Good Samaritan Hospital through the mailing address at 515 BAYOU ST, VINCENNES, IN - 47591-1034 (mailing address contact number: 812-886-6800).

Location: 611 E Main St, Petersburg, IN, 47591-1034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952309528
Provider Name
Good Samaritan Hospital
Credential
Provider Entity Type
Organization
Address
611 E Main St, Petersburg, IN, 47591-1034
Phone Number
812-354-8785
Fax Number
812-354-8786
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
165526 01 IN MHN GROUP
192466000 01 IN MAGELLAN
000000574039 01 IN ANTHEM PIN FOR THIS LOCATION
301936 01 IN VALUE OPTIONS FACILITY
100270140C 05 IN
100270140G 05 IN
institution
Provider Business Practice Location Address Details
Address
611 E Main St
City
Petersburg
State
Indiana
Zip
47567-1267
Phone Number
812-354-8785
Fax Number
812-354-8786
person
Provider Business Mailing Address Details
Address
515 Bayou St
City
Vincennes
State
Indiana
Zip
47591-1034
Phone Number
812-886-6800
Fax Number
812-886-6809
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4030CMHC (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4030 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
4030 (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
4030 (Indiana)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
4030 (Indiana)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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