# GOOD SAMARITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MultiCare Good Samaritan Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609868413
- **Authorized official:** JOHN R LONG MS,RN,CHCE,CDHP (PRESIDENT)
- **Authorized official phone:** (253) 301-6400

## Contact information

- **Practice address:** 3901 S FIFE ST, TACOMA, WA 98409-7309
- **Practice address phone:** (253) 301-6400
- **Practice address fax:** (253) 301-6528
- **Mailing address:** PO BOX 5200, TACOMA, WA 98415-0200
- **Mailing address phone:** (253) 301-6400
- **Mailing address fax:** (253) 301-6528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS302 | WA | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 08/12/2009