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Organization
GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN
Active
Organization
GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN
Active
Other names
Good Samaritan Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ELAINE TYRRELL RN, MSN/MHA/NHA (NHA)
(814) 534-1934
Entity
Organization
Contact information
Practice address
1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
(814) 534-1934
(814) 534-1453
Mailing address
1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
(814) 534-1934
(814) 534-1453
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
291702-01
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602
BLUE CROSS
PA
05
—
1007731330019
—
PA
Enumeration date
12/01/2005
Last updated
02/02/2010
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