Organization
THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA
Active
Other names
WellSpan Good Samaritan Hospital, WellSpan Good Samaritan Hospital Acute Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CITRO (VP & PRESIDENT)
(717) 738-6407
Entity
Organization
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6123
(717) 270-7500
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
072401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007732780004
—
PA
05
—
1007732780055
—
PA
05
—
1007732780056
—
PA
05
—
1007732780058
—
PA
05
—
1007732780059
—
PA
05
—
1007732780060
—
PA
05
—
1007732780061
—
PA
05
—
1007732780062
—
PA
05
—
1007732780063
—
PA
05
—
1007732780065
—
PA
05
—
1007732780066
—
PA
05
—
1007732780067
—
PA
05
—
1007732780068
—
PA
05
—
1007732780069
—
PA
Enumeration date
11/14/2006
Last updated
04/30/2025
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