Good Samaritan Outreach Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GOOD SAMARITAN OUTREACH SERVICES

Practice address

402 15TH Ave SE
Puyallup, WA 98372-3709

Phone

(253) 697-5200

Fax

(253) 697-8598

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald J Lewis

Title

Vice President

Phone

(253) 697-8500

Specialties & licenses 1

Addresses

Other names 1

• Children's Therapy Unit Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376683946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723265",
            "telephone_number": "253-697-8548",
            "fax_number": "253-697-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 15TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723709",
            "telephone_number": "253-697-5200",
            "fax_number": "253-697-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-697-8500"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Therapy Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Son Hui Gonzalez, MSW
• Good Night Medical of Washington, Inc.
• Good Samaritan Community Healthcare
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Surgery Center LLC
• Marc William Goodboy, PA-C
• Chelsi Goodman, MD
• Jonathan Clarke Goodman, LMHC, MHP, NCC
• Jill Rita Goodrich, MBA OTR/L

• Multi-Specialty Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.