Good Samaritan Hospital-RKC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GOOD SAMARITAN HOSPITAL-RKC

Doing business as

Regional Kidney Center

Practice address

33 State Route 17M
Harriman, NY 10926-3201

Phone

(845) 987-5844

NPI assigned

Jun 27, 2008

Organization subpart

Yes

Parent organization

GOOD SAMARITAN HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Philip Patterson

Title

Evp

Phone

(845) 368-5303

Specialties & licenses 1

Addresses

Other names 1

• Regional Kidney Center Doing business as

Part of

Good Sam Hos Suf-Pul Sys

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1811159171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-987-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE ROUTE 17M",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263201",
            "telephone_number": "845-987-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL-RKC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "845-368-5303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Fiorello
• Anjuan Folk
• Alfonso Gales
• Siobhan Grace Galloway
• Emily Yajaira Garcia-Mojica
• Alyssa Gschlecht
• Ellie Joy Hajjar, BS
• Kayla Hall
• Harriman Family Dental
• Lynette R Hawleymarks X

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Harriman, NY
• Providers in Harriman, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.