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Organization
THE GOOD SAMARITAN HOSPITAL
Active
Organization
THE GOOD SAMARITAN HOSPITAL
Active
Parent organization
THE GOOD SAMARITAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GOOD SAMARITAN HOSPITAL
Authorized official
ROBERT J RICHARDS (VP FINANCE & CFO)
(717) 270-7806
Entity
Organization
Contact information
Practice address
FOURTH AND WILLOW STREETS, LEBANON, PA 17042
(717) 274-7580
(717) 228-0249
Mailing address
FOURTH AND WILLOW STREETS, PO BOX 1281, LEBANON, PA 17042-1281
(717) 274-7580
(717) 228-0249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08274
HEALTH PARTNERS
PA
01
—
1018197
KEYSTONE MERCY
PA
01
—
1558
HIGHMARK BLUE SHIELD
PA
01
—
1558
HIGHMARK FREEDOM BLUE
—
01
—
33781
HEALTH AMERICA
PA
01
—
395933
CAPITAL BLUE CROSS
PA
01
—
395933
HUMANA GOLD
—
01
—
60685
AMERIHEALTH MERCY
PA
01
—
7510
AETNA
PA
Enumeration date
11/03/2006
Last updated
11/20/2007
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