GOOD SAMARITAN REGIONAL HEALTH CENTER
GOOD SAMARITAN REGIONAL HEALTH CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1487758801, based in Mount Vernon, IL. The organization lists 8 taxonomy classifications, with Emergency Medicine Physician recorded as primary.
Getting there
The practice address on file is 1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0004705 | IL | Emergency Medicine Physician primary |
| 0004705 | IL | Physical Medicine & Rehabilitation… |
| 0004705 | IL | Neurology Physician |
| 0004705 | IL | Interventional Cardiology Physician |
| 0004705 | IL | Radiation Oncology Physician |
| 0004705 | IL | Diagnostic Radiology Physician |
| 0004705 | IL | Certified Respiratory Therapist |
| 0004705 | IL | Registered Respiratory Therapist |
This provider holds licence 0004705 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658272059
- Enrollment ID
- O20040119000325
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | 0004705 | IL | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0004705 | IL | |
| 2084N0400X | Neurology Physician Neurology | 0004705 | IL | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 0004705 | IL | |
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | 0004705 | IL | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 0004705 | IL | |
| 227800000X | Certified Respiratory Therapist | 0004705 | IL | |
| 227900000X | Registered Respiratory Therapist | 0004705 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1487758801 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 8, 2006 |
| Last updated | Nov 27, 2023 |
| Status | Active |
| Practice address |
1 GOOD SAMARITAN WAY Mount Vernon, IL 62864 (618) 899-4600 Fax (618) 532-9365 |
| Mailing address |
PO BOX 503927 Saint Louis, MO 63150 |
| Other identifiers |
4115179
· Other (IL) 33898 · Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 8 | 7 | 7 | 5 | 8 | 8 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 7 | 7 | 5 | 5 | 7 | 8 | 0 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.