Active NPI
The Good Samaritan Hospital
- Skilled Nursing Facility
- Lebanon, PA
National Provider Identifier
1891874798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 121102
- Legal business name
- THE GOOD SAMARITAN HOSPITAL
- Practice address
- Fourth and Willow Streets
Lebanon, PA 17042 - Phone
- (717) 274-7580
- Fax
- (717) 228-0249
- NPI assigned
- Nov 3, 2006
- Last updated
- Nov 20, 2007
- Organization subpart
- Yes
- Parent organization
- THE GOOD SAMARITAN HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Richards
- Title
- VP Finance & Cfo
- Phone
- (717) 270-7806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 121102 | PA | Primary |
Addresses
Primary practice location
Fourth and Willow Streets
Lebanon, PA 17042
Mailing address
Fourth and Willow Streets
PO Box 1281
Lebanon, PA 17042-1281
Phone (717) 274-7580
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395933 | Other | PA | CAPITAL BLUE CROSS |
| 395933 | Other | HUMANA GOLD | |
| 60685 | Other | PA | AMERIHEALTH MERCY |
| 1558 | Other | PA | HIGHMARK BLUE SHIELD |
| 395933 | Other | PA | KEYSTONE HEALTH PLAN CENT |
| 7510 | Other | PA | AETNA |
| 33781 | Other | PA | HEALTH AMERICA |
| 1018197 | Other | PA | KEYSTONE MERCY |
| 08274 | Other | PA | HEALTH PARTNERS |
| 395933 | Other | GEISINGER GOLD | |
| 395933 | Other | STERLING OPTION 1 | |
| 1018197 | Other | PA | GATEWAY MEDICARE ASSURED |
| 1558 | Other | HIGHMARK FREEDOM BLUE | |
| 395933 | Other | ADVANTRA |
National Provider Directory
National Provider Directory- Part of
- Neurology Hyman S Capla
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195516800000",
"number": "1891874798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FOURTH AND WILLOW STREETS",
"address_2": "PO BOX 1281",
"city": "LEBANON",
"state": "PA",
"postal_code": "170421281",
"telephone_number": "717-274-7580",
"fax_number": "717-228-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOURTH AND WILLOW STREETS",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-274-7580",
"fax_number": "717-228-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GOOD SAMARITAN HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE GOOD SAMARITAN HOSPITAL",
"enumeration_date": "2006-11-03",
"last_updated": "2007-11-20",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP FINANCE & CFO",
"authorized_official_telephone_number": "717-270-7806"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "121102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "395933",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD",
"identifier": "395933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "60685",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1558",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENT",
"identifier": "395933",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7510",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "33781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1018197",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "08274",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER GOLD",
"identifier": "395933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING OPTION 1",
"identifier": "395933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1018197",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK FREEDOM BLUE",
"identifier": "1558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA",
"identifier": "395933",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
- Salma Tewfik, PHARMD
- The Good Samaritan Hospital
- The Good Samaritan Hospital
- The Good Samaritan Hospital
- The Good Samaritan Hospital
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
- The Good Samaritan Hospital of Lebanon, Pennsylvania (WellSpan Good Samaritan Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.