Active NPI
Good Samaritan Hospital & Health Center
- General Acute Care Hospital
- Dayton, OH
National Provider Identifier
1952471914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- GOOD SAMARITAN HOSPITAL & HEALTH CENTER
- Practice address
- 2222 Philadelphia Dr
Dayton, OH 45406-1813 - Phone
- (937) 278-2612
- Fax
- (937) 499-7813
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
2222 Philadelphia Dr
Dayton, OH 45406-1813
Mailing address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone (937) 278-2612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3293565 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 360052
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- GOOD SAMARITAN HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Jul 23, 2018
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 24, 2009
- Beds
- 577 (538 certified)
- Ownership / control type
- Church
- Facility address
- 2222 Philadelphia Drive
Dayton, OH 45406
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482105600000",
"number": "1952471914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061813",
"telephone_number": "937-278-2612",
"fax_number": "937-499-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061813",
"telephone_number": "937-278-2612",
"fax_number": "937-499-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOSPITAL & HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3293565",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.