Organization
GOOD SAMARITAN MEDICAL CENTER, INC.
Active
Other names
Good Samaritan Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR GUITTAP (CFO)
(561) 671-7171
Entity
Organization
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 655-5511
Mailing address
PO BOX 741182, ATLANTA, GA 30374-1182
(561) 982-2189
(561) 650-6127
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010152400
—
FL
01
—
023240390
AETNA US HEALTHCARE (NATI
—
01
—
080098
HUMANA
—
01
—
100287B000000
SECTION 1011
—
01
—
119588
COVENTRY HEALTH CARE GROU
—
01
—
131
BCBS OF FLORIDA
—
01
—
621124806
TRICARE
—
01
—
72-2932824
PACIFICARE
—
01
—
990103
NEIGHBORHOOD HEALTH PLAN
—
Enumeration date
07/07/2006
Last updated
03/23/2022
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