Good Samaritan Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4106 Issued in OK

Legal business name

GOOD SAMARITAN HOSPICE, INC.

Practice address

410 Idlewood Circle
Wilson, OK 73463

Phone

(580) 668-3138

Fax

(580) 668-3143

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadine Goode, R.N./ADMINSTRATOR

Title

Owner/Asst. Administrator

Phone

(580) 668-3138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982713855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "WILSON",
            "state": "OK",
            "postal_code": "734630297",
            "telephone_number": "580-668-3137",
            "fax_number": "580-668-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 IDLEWOOD CIRCLE",
            "city": "WILSON",
            "state": "OK",
            "postal_code": "73463",
            "telephone_number": "580-668-3138",
            "fax_number": "580-668-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER/ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "580-668-3138",
        "authorized_official_credential": "R.N./ADMINSTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mercy Health Network of the Southern Region, Inc. (Mercy Health Wilson)
• Kimberly Dawn Powell
• April M Sanders

• Community Based Hospice Care Agency in Wilson, OK
• Providers in Wilson, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.