# THE GOOD SAMARITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235329095
- **Authorized official:** ROBERT J RICHARDS (VP FINANCE AND CFO)
- **Authorized official phone:** (717) 270-7806

## Contact information

- **Practice address:** 830 TUCK ST, LEBANON, PA 17042-7477
- **Practice address phone:** (717) 274-7580
- **Practice address fax:** (717) 228-0249
- **Mailing address:** PO BOX 1281, LEBANON, PA 17042-1281
- **Mailing address phone:** (717) 274-7580
- **Mailing address fax:** (717) 228-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 072401 | PA | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 07/27/2007