NPIMap

Organization Active NPI

Good Samaritan Medical Center, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1669404885
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
4070 Issued in FL
Legal business name
GOOD SAMARITAN MEDICAL CENTER, INC.
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 655-5511
NPI assigned
Jul 7, 2006
Organization subpart
Yes
Parent organization
GOOD SAMARITAN MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Taylor Guittap
Title
Cfo
Phone
(561) 671-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 4070 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

PO Box 741182
Atlanta, GA 30374-1182
Phone (561) 982-2189

Other names 1

  • Good Samaritan Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GSM@Direct.Hub5.TenetHealth.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Medical Center Inc3 organizations share this tax ID, including this one
Part of
Good Samaritan Medical Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1669404885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741182",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741182",
            "telephone_number": "561-982-2189",
            "fax_number": "561-650-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-655-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN MEDICAL CENTER, INC.",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "GUITTAP",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-671-7171"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": "4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GSM@Direct.Hub5.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1309 N Flagler Dr",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334013406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Samaritan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.