# GOOD SAMARITAN HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan University Hospital - St. Charles Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356281125
- **Authorized official:** PEGEEN MCGOWAN (SVP INTERNAL AUDIT & COMPLIANCE)
- **Authorized official phone:** (631) 465-4151

## Contact information

- **Practice address:** 200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
- **Practice address phone:** (631) 474-6000
- **Mailing address:** 200 BELLE TERRE RD, ADMINISTRATION, PORT JEFFERSON, NY 11777-1928
- **Mailing address phone:** (631) 474-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 04/21/2026