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GOOD SAMARITAN HOSPITAL NPI 1417949892


NPI Information

NPI: 1417949892
Provider Name: GOOD SAMARITAN HOSPITAL

Doing Business As: GOOD SAMARITAN HOME HEALTH & HOSPICE

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
1317 E MAIN
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-7600
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GOOD SAMARITAN HOSPITAL is a home infusion in Puyallup, WA. GOOD SAMARITAN HOSPITAL NPI is 1417949892. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Home Health & Hospice.

The provider's business location address is:

1317 E MAIN
PUYALLUP, WA
ZIP 98372-136
Phone: (253) 697-7600
Fax: (253) 691-9598

The provider's authorized official is Ken Mckinney .
The authorized official title is Director and has the following contact phone number (253) 697-7600.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 8/22/2020.


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
1251F00000XHome InfusionIS302WASHINGTONYes

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
1GO4586OTHERWASHINGTONREGENCE HIT
20543130001OTHERWASHINGTONCIGNA MEDICARE
31258OTHERWASHINGTONPREMERA
47330079MEDICAIDWASHINGTON
5WA2923OTHERWASHINGTONMOLINA
60004OTHERWASHINGTONCHAMPUS HOME HEALTH

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: 11/14/2023

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