# GOOD SAMARITAN PEDIATRICS 503 OAK STREET

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

## Provider details

- **NPI number:** 1841322278
- **Authorized official:** KATHLEEN S MARTIN (BILLLING COORDINATOR)
- **Authorized official phone:** (717) 272-4451

## Contact information

- **Practice address:** 503 OAK ST, LEBANON, PA 17042-6246
- **Practice address phone:** (717) 272-7695
- **Practice address fax:** (717) 272-7204
- **Mailing address:** P.O. BOX 300, 4TH & WILLOW STREET, LEBANON, PA 17042
- **Mailing address phone:** (717) 272-4451
- **Mailing address fax:** (717) 272-4532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 09/11/2025