GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
NPI 1609279876
Clinic/Center - Rural Health in Princeton, IN

NPI Status: Active since October 02, 2014

Contact Information

314 N MAIN ST
PRINCETON, IN
ZIP 47670
Phone: (812) 385-1071
Fax: (812) 385-8793

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 15D2168981
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2025

About GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC

This page provides the complete NPI Profile along with additional information for Good Samaritan Hospital Physician Services, Inc, a primary care provider established in Princeton, Indiana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1609279876 assigned on October 2014. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Robert D Mclin (Ceo)

NPI
1609279876
Provider Name
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Entity Type
Organization
Location Address
314 N MAIN ST PRINCETON, IN 47670
Location Phone
(812) 385-1071
Location Fax
(812) 385-8793
Mailing Address
314 N MAIN ST PRINCETON, IN 47670
Mailing Phone
(812) 385-1071
Mailing Fax
(812) 385-8793
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2014
Last Update Date
01-24-2024
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A primary care provider (PCP) like Good Samaritan Hospital Physician Services, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
IN

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT D MCLIN

Authorized Official Title
CEO
Authorized Official Phone
(812) 885-3333

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2168981
Facility Type
Physician Office
Certificate Effective Date
July 12, 2023
Certificate Expiration Date
July 11, 2025
Laboratory Director
LINDA LINNEWEBER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Hospital Physician Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609279876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26094718814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 7 + 1 + 8 + 8 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1609279876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205047040 VONETTA M VORIES FNP-C
Individual
Nurse Practitioner314 N MAIN ST
PRINCETON, IN 47670
(812) 385-1071

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609279876, enumerated in the NPI registry as an "organization" on October 02, 2014

The provider is located at 314 N Main St Princeton, In 47670 and the phone number is (812) 385-1071

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider's CLIA number is 15D2168981 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 02, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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