# GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Nursing Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780668079
- **Authorized official:** MRS. NANCY ELAINE TYRRELL RN, MSN/MHA/NHA (NHA)
- **Authorized official phone:** (814) 534-1934

## Contact information

- **Practice address:** 1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
- **Practice address phone:** (814) 534-1934
- **Practice address fax:** (814) 534-1453
- **Mailing address:** 1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
- **Mailing address phone:** (814) 534-1934
- **Mailing address fax:** (814) 534-1453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 291702-01 | PA | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 02/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0602 | BLUE CROSS | PA |
| 05 | — | 1007731330019 | — | PA |