Organization Name: | GOOD SAMARITAN HOSPITAL |
NPI Number: | 1407879448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE B HARMS (VICE PRESIDENT, FINANCE) |
Mailing Address: | 2501 30th Ave Kearney |
State: | NE US |
Postal Code: | 688454017 |
Phone Number: | 3088657900 |
Fax Number: | 3088652913 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 071002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |