Good Samaritan Medical Center of Johnstown

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

291702-01 Issued in PA

Legal business name

GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN

Doing business as

Good Samaritan Nursing Care Center

Practice address

1017 Franklin St
Johnstown, PA 15905-4110

Phone

(814) 534-1934

Fax

(814) 534-1453

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Elaine Tyrrell, RN, MSN/MHA/NHA

Title

Nha

Phone

(814) 534-1934

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Good Samaritan Nursing Care Center Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1780668079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-534-1934",
            "fax_number": "814-534-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-534-1934",
            "fax_number": "814-534-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN MEDICAL CENTER OF JOHNSTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "TYRRELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "NHA",
        "authorized_official_telephone_number": "814-534-1934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN/MHA/NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "291702-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0602",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007731330019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley M Goncher, LPC
• Daniel Craig Goncher Jr., PA-C
• Ian D Goncher, PSYD
• Patricia Lynne Goncher, RD, LDN, CNSD
• Luis Gonzalez III, PHARM.D.
• Cami Good, MD
• Susan Brown Good, AU.D.
• Richard Paul Goodrich Jr., D.O.
• Goodwill of the Southern Alleghenies
• Jessica Goodwin, CRNP

• Skilled Nursing Facility in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.