# THE GOOD SAMARITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE GOOD SAMARITAN HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891874798
- **Legal business name:** THE GOOD SAMARITAN HOSPITAL
- **Authorized official:** ROBERT J RICHARDS (VP FINANCE & CFO)
- **Authorized official phone:** (717) 270-7806

## Contact information

- **Practice address:** FOURTH AND WILLOW STREETS, LEBANON, PA 17042
- **Practice address phone:** (717) 274-7580
- **Practice address fax:** (717) 228-0249
- **Mailing address:** FOURTH AND WILLOW STREETS, PO BOX 1281, LEBANON, PA 17042-1281
- **Mailing address phone:** (717) 274-7580
- **Mailing address fax:** (717) 228-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 121102 | PA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 11/20/2007

## 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 |
