Organization
THE GOOD SAMARITAN HOSPITAL
Active
Parent organization
THE GOOD SAMARITAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GOOD SAMARITAN HOSPITAL
Authorized official
ROBERT J RICHARDS (VP FINANCE & CFO)
(717) 270-7806
Entity
Organization
Contact information
Practice address
FOURTH AND WILLOW STREETS, LEBANON, PA 17042
(717) 274-7580
(717) 228-0249
Mailing address
FOURTH AND WILLOW STREETS, PO BOX 1281, LEBANON, PA 17042-1281
(717) 274-7580
(717) 228-0249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08274
HEALTH PARTNERS
PA
01
—
1018197
KEYSTONE MERCY
PA
01
—
1558
HIGHMARK BLUE SHIELD
PA
01
—
1558
HIGHMARK FREEDOM BLUE
—
01
—
33781
HEALTH AMERICA
PA
01
—
395933
KEYSTONE HEALTH PLAN CENT
PA
01
—
395933
ADVANTRA
—
01
—
60685
AMERIHEALTH MERCY
PA
01
—
7510
AETNA
PA
Enumeration date
11/03/2006
Last updated
11/20/2007
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