# GOOD SAMARITAN COMMUNITY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437102399
- **Authorized official:** MR. JOHN R LONG III (CEO)
- **Authorized official phone:** (253) 697-2102

## Contact information

- **Practice address:** 16515 MERIDIAN E, SUITE 104A, PUYALLUP, WA 98375-6251
- **Practice address phone:** (253) 697-3030
- **Practice address fax:** (253) 697-8190
- **Mailing address:** PO BOX 40, PUYALLUP, WA 98371-0137
- **Mailing address phone:** (253) 697-5502
- **Mailing address fax:** (253) 697-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 09/11/2025