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GOOD SAMARITAN HOSPICE USA INC NPI 1396767224


NPI Information

NPI: 1396767224
Provider Name: GOOD SAMARITAN HOSPICE USA INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D2269206

Address:
402 E DR HICKS BLVD
FLORENCE, AL
ZIP 35630
Phone: (256) 767-4799
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GOOD SAMARITAN HOSPICE USA INC is a hospice care community based in Florence, AL. GOOD SAMARITAN HOSPICE USA INC NPI is 1396767224. The provider is registered as an organization entity type.

The provider's business location address is:

402 E DR HICKS BLVD
FLORENCE, AL
ZIP 35630-763
Phone: (256) 767-4799
Fax: (256) 767-4798

The provider's authorized official is Jackie Randolph Gist .
The authorized official title is President and has the following contact phone number (256) 767-4799.

The CLIA number assigned to this NPI record is 01D2269206 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 6/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based12948ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101200654OTHERALABAMABLUE CROSS ALABAMA
2011595MEDICARE OSCAR/CERTIFICATIONALABAMA
3011595MEDICARE ID-TYPE UNSPECIFIEDALABAMAPROVIDER NUMBER
4PIC1595EMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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