Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Good Samaritan Regional Health Center

Organization Emergency Medicine Physician · NPI 1487758801

Good Samaritan Regional Health Center is an Emergency Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
8
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Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (618) 899-4600
Fax: (618) 532-9365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0004705 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 0004705 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0004705 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 0004705 (IL)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 0004705 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0004705 (IL)
Certified Respiratory Therapist Taxonomy 227800000X · Licence 0004705 (IL)
Registered Respiratory Therapist Taxonomy 227900000X · Licence 0004705 (IL)

Record details

NPI number1487758801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Bradford — President · (618) 899-1001
Other names Ssm Health Good Samaritan Hospital - Mt. Vernon; Ssm Health Good Samaritan Hospital - Mt. Vernon
NPI enumeratedSeptember 8, 2006
Last updated in NPPESNovember 27, 2023
Mailing addressPo Box 503927, Saint Louis, MO 63150-0001

Other providers in Mount Vernon