Organization Name: | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
NPI Number: | 1124187349 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM ALLISON (CHEIF FINANCIAL OFFICER) |
Mailing Address: | 185 S 10th St Lindenhurst |
State: | NY US |
Postal Code: | 117574505 |
Phone Number: | 6312248510 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 06/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |