Organization
GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN
Active
Other names
Good Samaritan Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ELAINE TYRRELL RN, MSN/MHA/NHA (NHA)
(814) 534-1934
Entity
Organization
Contact information
Practice address
1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
(814) 534-1934
(814) 534-1453
Mailing address
1017 FRANKLIN ST, JOHNSTOWN, PA 15905-4110
(814) 534-1934
(814) 534-1453
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
291702-01
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602
BLUE CROSS
PA
05
—
1007731330019
—
PA
Enumeration date
12/01/2005
Last updated
02/02/2010
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