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GOOD SAMARITAN HOSPITAL
NPI 1063005601
Clinic/Center - Rural Health in Vincennes, IN

Active since February 15, 2021CLIA 15D0856188 · Waiver
514 S 9TH ST, VINCENNES, IN 47591(812) 885-8510(812) 885-8511 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Jan 28, 2026, Dec 5, 2025 and 5 more (8 updates tracked since 2021).

About Good Samaritan Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN HOSPITAL (NPI 1063005601), doing business as Good Samaritan Kids, is a healthcare organization registered as a rural health in Vincennes, Indiana and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Adam Thacker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063005601
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGOOD SAMARITAN HOSPITAL
Location Address514 S 9TH STVincennes, IN 47591-2709
Mailing Address1160 E Saint Clair StVincennes, IN 47591-4853 · (812) 885-3325 · Fax (812) 885-8987
Phone(812) 885-8510
Fax(812) 885-8511
Organization SubpartYes
Authorized OfficialAdam ThackerCeo · (812) 882-5220
Enumeration DateFebruary 15, 2021
Last NPPES UpdateApril 14, 20268 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1063005601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
514 S 9TH ST, Vincennes, IN 47591
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Kids

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0856188

Good Samaritan Hospital · Vincennes, IN
Active · expires Jul 2, 2028
CLIA Number15D0856188
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorHeather Nichols
Laboratory Phone(812) 885-8510
Laboratory LocationGood Samaritan Hospital514 S 9th St, Vincennes, IN 47591
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDIOVASCULAR CONSULTANTS OF VINCENNES, PC
Internal Medicine (Interventional Cardiology)
514 S 9TH ST
VINCENNES, IN 47591
Knox County (812) 885-8020
DR. HEATHER RUTHANN NICHOLS M.D.
Pediatrics
514 S 9TH ST
VINCENNES, IN 47591
Knox County (812) 882-8510
MRS. BRITNI LYNN ROARK AGACNP-BC
Nurse Practitioner (Acute Care)
514 S 9TH ST
VINCENNES, IN 47591
Knox County (812) 885-6990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Hospital's NPI number?

The NPI number for Good Samaritan Hospital is 1063005601. It was assigned to this organization in the NPPES registry on February 15, 2021. The provider is doing business as Good Samaritan Kids.

Where is Good Samaritan Hospital located?

Good Samaritan Hospital is located at 514 S 9th St, Vincennes, IN 47591. The listed phone number is (812) 885-8510.

What is Good Samaritan Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Good Samaritan Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0856188) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Good Samaritan Hospital accept?

Health plans from CareSource list Good Samaritan Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Good Samaritan Hospital was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.