Organization
GOOD SAMARITAN HOSPITAL
Active
Other names
CHI HEALTH GOOD SAMARITAN
Organization subpart
No
Provider details
NPI number
Authorized official
EVERT KUIPER (CEO - CHI HEALTH)
(402) 343-4420
Entity
Organization
Contact information
Practice address
10 E 31ST ST, BOX 1990, KEARNEY, NE 68847-2926
(308) 865-7100
(308) 865-2913
Mailing address
10 E 31ST ST, BOX 1990, KEARNEY, NE 68847-2926
(308) 865-7100
(308) 865-2913
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
070001
NE
273R00000X
Psychiatric Hospital Unit
070001
NE
282N00000X
General Acute Care Hospital
Primary
070001
NE
3416A0800X
Air Ambulance
070001
NE
3416L0300X
Land Ambulance
070001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034
BLUE CROSS
—
05
—
0130954301
—
KS
05
—
100259643-00
—
NE
05
—
112385800
—
WY
01
—
3419
BLUE CROSS - 1500 FORM
—
Enumeration date
06/18/2006
Last updated
02/10/2022
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