Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
Good Samaritan EKG Svc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A. LINTOTT (CHIEF FINANCIAL OFFICER)
(253) 697-7344
Entity
Organization
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-4000
(253) 697-7293
Mailing address
PO BOX 460, PUYALLUP, WA 98371-0047
(253) 697-7345
(253) 697-7293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25728
L&I PROF SVCS GROUP #
WA
05
—
7719008
—
WA
Enumeration date
07/21/2006
Last updated
09/11/2025
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