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Organization

GOOD SAMARITAN OUTREACH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL H SCHNIEDERS (PRESIDENT AND CEO)
(308) 865-7900
Entity
Organization

Contact information

Practice address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-7100
Mailing address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-7900
(308) 865-2913

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025062000
NE
Enumeration date
07/05/2006
Last updated
05/01/2013
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