Organization
GOOD SAMARITAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J. SKURDAL (ADMINISTRATOR)
(563) 422-3814
Entity
Organization
Contact information
Practice address
201 HALL ST, WEST UNION, IA 52175-1006
(563) 422-3814
(563) 422-3815
Mailing address
201 HALL ST, WEST UNION, IA 52175-1006
(563) 422-3814
(563) 422-3815
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N406
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801597
—
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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