Good Samaritan Hospital & Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GOOD SAMARITAN HOSPITAL & HEALTH CENTER

Doing business as

Samaritan Homeless Clinic

Practice address

921 S. Edwin C. Moses Blvd.
Dayton, OH 45417-3464

Phone

(937) 461-1376

Fax

(937) 499-7813

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy D. Snider

Title

Cfo

Phone

(937) 278-2254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samaritan Homeless Clinic Doing business as

Locations

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1730387333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S. EDWIN C. MOSES BLVD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173464",
            "telephone_number": "937-461-1376",
            "fax_number": "937-499-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S. EDWIN C. MOSES BLVD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173464",
            "telephone_number": "937-461-1376",
            "fax_number": "937-499-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-278-2254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2390470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Homeless Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacha Gooch, PA-C
• Good Neighbor House
• Good Remedy Home Healthcare LLC
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital & Health Center
• Good Samaritan Hospital & Health Center
• Good Samaritan Medical Center
• Good Samaritian Hospital
• Conrad Goode V

• Federally Qualified Health Center (FQHC) in Dayton, OH
• Providers in Dayton, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.